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 $186.21 Median $275.42 Typical High $549.54 | Professional | None | $186.21 | $275.42 | $549.54 |
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 $162.18 Median $223.87 Typical High $371.54 | Professional | None | $162.18 | $223.87 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $602.56 | Professional | None | $257.04 | $354.81 | $602.56 |
ConnectiCare Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $812.83 | Professional | None | $398.11 | $457.09 | $812.83 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,890.45 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,890.45 | $7,079.46 |
United Setting Professional Modifier None Typical Low $173.78 Median $398.11 Typical High $933.25 | Professional | None | $173.78 | $398.11 | $933.25 |
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 $91.20 Median $138.04 Typical High $269.15 | Professional | 52 · Reduced service | $91.20 | $138.04 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $54.95 Typical High $109.65 | Professional | 53 · Discontinued | $36.31 | $54.95 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $208.93 Typical High $407.38 | Professional | 54 · Surgery only | $138.04 | $208.93 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $41.69 Typical High $81.28 | Professional | 55 · Aftercare only | $27.54 | $41.69 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $27.54 Typical High $54.95 | Professional | 56 · Pre-op care only | $18.20 | $27.54 | $54.95 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska than in Virginia. 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· 34th 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.