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 $117.49 Median $158.49 Typical High $194.98 | Professional | None | $117.49 | $158.49 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $5,888.44 Typical High $46,773.51 | Facility | None | $1,949.84 | $5,888.44 | $46,773.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $213.80 | Professional | None | $97.72 | $154.88 | $213.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $229.09 Typical High $316.23 | Professional | 50 · Both sides | $144.54 | $229.09 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $147.91 Typical High $1,000.00 | Facility | None | $128.82 | $147.91 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $194.98 Typical High $338.84 | Professional | None | $87.10 | $194.98 | $338.84 |
ConnectiCare Setting Professional Modifier None Typical Low $186.21 Median $416.87 Typical High $575.44 | Professional | None | $186.21 | $416.87 | $575.44 |
Health New England Setting Professional Modifier None Typical Low $165.96 Median $501.19 Typical High $758.58 | Professional | None | $165.96 | $501.19 | $758.58 |
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 $93.33 Median $134.90 Typical High $446.68 | Professional | None | $93.33 | $134.90 | $446.68 |
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 $60.26 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $60.26 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $23.99 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $120.23 Typical High $123.03 | Professional | 54 · Surgery only | $91.20 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $23.99 Typical High $24.55 | Professional | 55 · Aftercare only | $18.20 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $15.85 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.02 | $15.85 | $16.22 |
Where Connecticut sits
The same service costs 3.7 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· 17th of 51
$162
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.