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 $100.00 Median $151.36 Typical High $213.80 | Professional | None | $100.00 | $151.36 | $213.80 |
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 $61.66 Median $85.11 Typical High $208.93 | Professional | None | $61.66 | $85.11 | $208.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $91.20 Median $125.89 Typical High $316.23 | Professional | 50 · Both sides | $91.20 | $125.89 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $199.53 Typical High $1,148.15 | Facility | None | $169.82 | $199.53 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $181.97 Typical High $263.03 | Professional | None | $112.20 | $181.97 | $263.03 |
ConnectiCare Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $229.09 | Professional | None | $144.54 | $186.21 | $229.09 |
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 $53.70 Median $128.82 Typical High $316.23 | Professional | None | $53.70 | $128.82 | $316.23 |
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 $54.95 Median $75.86 Typical High $107.15 | Professional | 52 · Reduced service | $54.95 | $75.86 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $30.20 Typical High $42.66 | Professional | 53 · Discontinued | $22.39 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $112.20 Typical High $162.18 | Professional | 54 · Surgery only | $83.18 | $112.20 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $22.91 Typical High $32.36 | Professional | 55 · Aftercare only | $16.60 | $22.91 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $15.14 Typical High $21.38 | Professional | 56 · Pre-op care only | $10.96 | $15.14 | $21.38 |
Where Connecticut sits
The same service costs 3.2 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· 15th of 51
$145
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.