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 $1,698.24 Median $5,754.40 Typical High $8,511.38 | Facility | None | $1,698.24 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $186.21 | Professional | None | $93.33 | $134.90 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $239.88 | Professional | None | $95.50 | $147.91 | $239.88 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $218.78 Typical High $354.81 | Professional | 50 · Both sides | $144.54 | $218.78 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $158.49 Typical High $204.17 | Facility | None | $51.29 | $158.49 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $190.55 Typical High $302.00 | Professional | None | $114.82 | $190.55 | $302.00 |
ConnectiCare Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None | $199.53 | $199.53 | $251.19 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $269.15 | Professional | None | $87.10 | $147.91 | $269.15 |
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 $54.95 Median $66.07 Typical High $91.20 | Professional | 52 · Reduced service | $54.95 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $36.31 | Professional | 53 · Discontinued | $21.88 | $26.30 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $97.72 Typical High $134.90 | Professional | 54 · Surgery only | $81.28 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.95 Typical High $26.92 | Professional | 55 · Aftercare only | $16.22 | $19.95 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.18 Typical High $18.20 | Professional | 56 · Pre-op care only | $10.96 | $13.18 | $18.20 |
Where Connecticut sits
The same service costs 3.2 times more in Wisconsin than in Texas. 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· 17th of 51
$158
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.