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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $524.81 | Professional | None | $269.15 | $398.11 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $741.31 | Professional | None | $354.81 | $501.19 | $741.31 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $213.80 Median $316.23 Typical High $467.74 | Professional | 62 · Two surgeons | $213.80 | $316.23 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,677.35 Typical High $5,888.44 | Facility | None | $741.31 | $4,677.35 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $616.60 Typical High $870.96 | Professional | None | $446.68 | $616.60 | $870.96 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $758.58 | Facility | None | $331.13 | $457.09 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $467.74 Median $602.56 Typical High $794.33 | Professional | None | $467.74 | $602.56 | $794.33 |
Health New England Setting Facility Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
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 $338.84 Median $562.34 Typical High $1,122.02 | Professional | None | $338.84 | $562.34 | $1,122.02 |
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 $173.78 Median $199.53 Typical High $263.03 | Professional | 52 · Reduced service | $173.78 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | 53 · Discontinued | $69.18 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $302.00 Typical High $398.11 | Professional | 54 · Surgery only | $263.03 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $60.26 Typical High $79.43 | Professional | 55 · Aftercare only | $52.48 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $39.81 Typical High $52.48 | Professional | 56 · Pre-op care only | $34.67 | $39.81 | $52.48 |
Where Connecticut sits
The same service costs 3.9 times more in Alaska than in New York. 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· 19th of 51
$525
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.