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 $83.18 Median $134.90 Typical High $223.87 | Professional | None | $83.18 | $134.90 | $223.87 |
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 $47.86 Median $66.07 Typical High $186.21 | Professional | None | $47.86 | $66.07 | $186.21 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $72.44 Median $100.00 Typical High $275.42 | Professional | 50 · Both sides | $72.44 | $100.00 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $1,148.15 | Facility | None | $93.33 | $109.65 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $269.15 | Professional | None | $93.33 | $144.54 | $269.15 |
ConnectiCare Setting Professional Modifier None Typical Low $89.13 Median $208.93 Typical High $251.19 | Professional | None | $89.13 | $208.93 | $251.19 |
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 $41.69 Median $107.15 Typical High $234.42 | Professional | None | $41.69 | $107.15 | $234.42 |
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 $47.86 Median $67.61 Typical High $109.65 | Professional | 52 · Reduced service | $47.86 | $67.61 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.92 Typical High $44.67 | Professional | 53 · Discontinued | $19.05 | $26.92 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $100.00 Typical High $165.96 | Professional | 54 · Surgery only | $72.44 | $100.00 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $20.42 Typical High $33.11 | Professional | 55 · Aftercare only | $14.45 | $20.42 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.49 Typical High $21.88 | Professional | 56 · Pre-op care only | $9.55 | $13.49 | $21.88 |
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· 11th of 51
$123
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.