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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $190.55 | Professional | None | $123.03 | $190.55 | $190.55 |
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 $112.20 Median $165.96 Typical High $245.47 | Professional | None | $112.20 | $165.96 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,479.11 | Facility | None | $501.19 | $831.76 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $281.84 | Professional | None | $141.25 | $169.82 | $281.84 |
ConnectiCare Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | None | $186.21 | $186.21 | $223.87 |
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 $107.15 Median $162.18 Typical High $380.19 | Professional | None | $107.15 | $162.18 | $380.19 |
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 $61.66 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $61.66 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $24.55 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $93.33 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $18.62 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $12.30 | $19.05 | $19.05 |
Where Connecticut sits
The same service costs 4.4 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· 23rd of 51
$195
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.