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 $165.96 Median $229.09 Typical High $295.12 | Professional | None | $165.96 | $229.09 | $295.12 |
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 $144.54 Median $199.53 Typical High $275.42 | Professional | None | $144.54 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $229.09 Typical High $512.86 | Facility | None | $51.29 | $229.09 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $416.87 | Professional | None | $213.80 | $295.12 | $416.87 |
ConnectiCare Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $302.00 | Professional | None | $186.21 | $239.88 | $302.00 |
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 $120.23 Median $218.78 Typical High $512.86 | Professional | None | $120.23 | $218.78 | $512.86 |
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 $87.10 Median $114.82 Typical High $147.91 | Professional | 52 · Reduced service | $87.10 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $45.71 Typical High $58.88 | Professional | 53 · Discontinued | $34.67 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $128.82 Median $173.78 Typical High $218.78 | Professional | 54 · Surgery only | $128.82 | $173.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $34.67 Typical High $43.65 | Professional | 55 · Aftercare only | $25.70 | $34.67 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $22.91 Typical High $29.51 | Professional | 56 · Pre-op care only | $17.38 | $22.91 | $29.51 |
Where Connecticut sits
The same service costs 3.6 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· 14th of 51
$229
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.