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 $138.04 Median $218.78 Typical High $407.38 | Professional | None | $138.04 | $218.78 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $2,818.38 Typical High $7,762.47 | Facility | None | $1,949.84 | $2,818.38 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $295.12 | Professional | None | $125.89 | $173.78 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $489.78 | Professional | None | $194.98 | $281.84 | $489.78 |
ConnectiCare Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $501.19 | Professional | None | $295.12 | $389.05 | $501.19 |
Health New England Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $4,786.30 Typical High $9,772.37 | Facility | None | $1,862.09 | $4,786.30 | $9,772.37 |
United Setting Professional Modifier None Typical Low $134.90 Median $323.59 Typical High $758.58 | Professional | None | $134.90 | $323.59 | $758.58 |
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 $70.79 Median $104.71 Typical High $204.17 | Professional | 52 · Reduced service | $70.79 | $104.71 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $42.66 Typical High $81.28 | Professional | 53 · Discontinued | $28.84 | $42.66 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $158.49 Typical High $309.03 | Professional | 54 · Surgery only | $107.15 | $158.49 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $31.62 Typical High $61.66 | Professional | 55 · Aftercare only | $21.38 | $31.62 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $21.38 Typical High $40.74 | Professional | 56 · Pre-op care only | $14.13 | $21.38 | $40.74 |
Where Connecticut sits
The same service costs 3.4 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· 38th of 51
$229
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.