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 $72.44 Median $120.23 Typical High $208.93 | Professional | None | $72.44 | $120.23 | $208.93 |
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 $58.88 Median $81.28 Typical High $151.36 | Professional | None | $58.88 | $81.28 | $151.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $123.03 Typical High $223.87 | Professional | 50 · Both sides | $89.13 | $123.03 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $1,000.00 | Facility | None | $181.97 | $213.80 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $165.96 Typical High $269.15 | Professional | None | $95.50 | $165.96 | $269.15 |
ConnectiCare Setting Professional Modifier None Typical Low $147.91 Median $165.96 Typical High $199.53 | Professional | None | $147.91 | $165.96 | $199.53 |
Health New England Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,122.02 | Facility | None | $295.12 | $295.12 | $1,122.02 |
Health New England Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $165.96 | Professional | None | $50.12 | $81.28 | $165.96 |
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 $45.71 Median $114.82 Typical High $323.59 | Professional | None | $45.71 | $114.82 | $323.59 |
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 $51.29 Median $58.88 Typical High $104.71 | Professional | 52 · Reduced service | $51.29 | $58.88 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $42.66 | Professional | 53 · Discontinued | $20.89 | $23.44 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $87.10 Typical High $158.49 | Professional | 54 · Surgery only | $77.62 | $87.10 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $17.78 Typical High $31.62 | Professional | 55 · Aftercare only | $15.49 | $17.78 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $11.75 Typical High $20.89 | Professional | 56 · Pre-op care only | $10.47 | $11.75 | $20.89 |
Where Connecticut sits
The same service costs 3.4 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· 21st of 51
$117
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.