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 $134.90 Median $213.80 Typical High $288.40 | Professional | None | $134.90 | $213.80 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $338.84 Typical High $457.09 | Professional | None | $186.21 | $338.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $398.11 Typical High $1,000.00 | Facility | None | $331.13 | $398.11 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $398.11 | Professional | None | $173.78 | $257.04 | $398.11 |
ConnectiCare Setting Professional Modifier None Typical Low $229.09 Median $275.42 Typical High $446.68 | Professional | None | $229.09 | $275.42 | $446.68 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $165.96 Median $295.12 Typical High $616.60 | Professional | None | $165.96 | $295.12 | $616.60 |
1 more rate 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 54 · Surgery only Typical Low $134.90 Median $158.49 Typical High $213.80 | Professional | 54 · Surgery only | $134.90 | $158.49 | $213.80 |
Where Connecticut sits
The same service costs 4.2 times more in Alaska than in Kentucky. 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· 11th of 51
$288
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.