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 $141.25 Median $194.98 Typical High $245.47 | Professional | None | $141.25 | $194.98 | $245.47 |
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 $123.03 Median $177.83 Typical High $239.88 | Professional | None | $123.03 | $177.83 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $213.80 Typical High $512.86 | Facility | None | $51.29 | $213.80 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $251.19 Typical High $363.08 | Professional | None | $186.21 | $251.19 | $363.08 |
ConnectiCare Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $263.03 | Professional | None | $162.18 | $208.93 | $263.03 |
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 $102.33 Median $190.55 Typical High $457.09 | Professional | None | $102.33 | $190.55 | $457.09 |
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 $75.86 Median $97.72 Typical High $123.03 | Professional | 52 · Reduced service | $75.86 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.90 Typical High $48.98 | Professional | 53 · Discontinued | $30.20 | $38.90 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $144.54 Typical High $186.21 | Professional | 54 · Surgery only | $114.82 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $28.84 Typical High $37.15 | Professional | 55 · Aftercare only | $22.91 | $28.84 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $19.50 Typical High $24.55 | Professional | 56 · Pre-op care only | $15.14 | $19.50 | $24.55 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 18th of 51
$195
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.