How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,890.45 Median $5,370.32 Typical High $7,762.47 | Facility | None | $3,890.45 | $5,370.32 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $933.25 Typical High $3,630.78 | Professional | None | $426.58 | $933.25 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $1,659.59 Typical High $6,918.31 | Professional | None | $562.34 | $1,659.59 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,630.78 Typical High $4,677.35 | Facility | None | $851.14 | $3,630.78 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $2,290.87 Typical High $4,265.80 | Professional | None | $575.44 | $2,290.87 | $4,265.80 |
ConnectiCare Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $6,918.31 | Professional | None | $2,951.21 | $2,951.21 | $6,918.31 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $416.87 Median $1,479.11 Typical High $5,623.41 | Professional | None | $416.87 | $1,479.11 | $5,623.41 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257.04 Median $371.54 Typical High $1,659.59 | Professional | 52 · Reduced service | $257.04 | $371.54 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $151.36 Typical High $676.08 | Professional | 53 · Discontinued | $104.71 | $151.36 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $562.34 Typical High $2,511.89 | Professional | 54 · Surgery only | $389.05 | $562.34 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $112.20 Typical High $501.19 | Professional | 55 · Aftercare only | $77.62 | $112.20 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $74.13 Typical High $338.84 | Professional | 56 · Pre-op care only | $52.48 | $74.13 | $338.84 |
Where Connecticut sits
The same service costs 3.6 times more in Iowa than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Connecticut· 12th of 51
$2,089
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.