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 $114.82 Median $144.54 Typical High $144.54 | Professional | None | $114.82 | $144.54 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $5,888.44 Typical High $7,943.28 | Facility | None | $4,786.30 | $5,888.44 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $223.87 | Professional | None | $104.71 | $165.96 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $354.81 Typical High $501.19 | Facility | None | $51.29 | $354.81 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $245.47 | Professional | None | $144.54 | $162.18 | $245.47 |
ConnectiCare Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | None | $177.83 | $177.83 | $199.53 |
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 $112.20 Median $154.88 Typical High $263.03 | Professional | None | $112.20 | $154.88 | $263.03 |
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 $57.54 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $22.91 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | 54 · Surgery only | $85.11 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $16.98 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $11.48 | $14.45 | $14.45 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska 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
$170
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.