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 $2,754.23 Median $4,466.84 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,466.84 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $79.43 | Professional | None | $38.90 | $56.23 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $79.43 | Professional | None | $36.31 | $51.29 | $79.43 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $54.95 Median $75.86 Typical High $120.23 | Professional | 50 · Both sides | $54.95 | $75.86 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $53.70 Typical High $489.78 | Facility | None | $46.77 | $53.70 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $112.20 | Professional | None | $56.23 | $77.62 | $112.20 |
ConnectiCare Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $85.11 | Professional | None | $58.88 | $70.79 | $85.11 |
Health New England Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Health New England Setting Professional Modifier None Typical Low $52.48 Median $95.50 Typical High $95.50 | Professional | None | $52.48 | $95.50 | $95.50 |
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 $30.20 Median $58.88 Typical High $138.04 | Professional | None | $30.20 | $58.88 | $138.04 |
1 more rate 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 54 · Surgery only Typical Low $34.67 Median $41.69 Typical High $57.54 | Professional | 54 · Surgery only | $34.67 | $41.69 | $57.54 |
Where Connecticut sits
The same service costs 3.3 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· 19th of 51
$58.88
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.