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 $79.43 Median $123.03 Typical High $239.88 | Professional | None | $79.43 | $123.03 | $239.88 |
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 $162.18 | Professional | None | $58.88 | $81.28 | $162.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $89.13 Median $123.03 Typical High $245.47 | Professional | 50 · Both sides | $89.13 | $123.03 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $1,148.15 | Facility | None | $100.00 | $120.23 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $263.03 | Professional | None | $104.71 | $165.96 | $263.03 |
ConnectiCare Setting Professional Modifier None Typical Low $109.65 Median $213.80 Typical High $245.47 | Professional | None | $109.65 | $213.80 | $245.47 |
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 $52.48 Median $112.20 Typical High $245.47 | Professional | None | $52.48 | $112.20 | $245.47 |
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 $43.65 Median $61.66 Typical High $120.23 | Professional | 52 · Reduced service | $43.65 | $61.66 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $24.55 Typical High $47.86 | Professional | 53 · Discontinued | $17.38 | $24.55 | $47.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $93.33 Typical High $177.83 | Professional | 54 · Surgery only | $66.07 | $93.33 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $18.62 Typical High $35.48 | Professional | 55 · Aftercare only | $13.18 | $18.62 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $12.30 Typical High $23.99 | Professional | 56 · Pre-op care only | $8.71 | $12.30 | $23.99 |
Where Connecticut sits
The same service costs 3.2 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· 16th 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.