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 $79.43 Median $141.25 Typical High $158.49 | Professional | None | $79.43 | $141.25 | $158.49 |
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 $44.67 Median $77.62 Typical High $186.21 | Professional | None | $44.67 | $77.62 | $186.21 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $117.49 Typical High $275.42 | Professional | 50 · Both sides | $67.61 | $117.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $1,000.00 | Facility | None | $51.29 | $58.88 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $162.18 | Professional | None | $52.48 | $77.62 | $162.18 |
ConnectiCare Setting Professional Modifier None Typical Low $38.02 Median $63.10 Typical High $165.96 | Professional | None | $38.02 | $63.10 | $165.96 |
Health New England Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
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 $51.29 Median $77.62 Typical High $281.84 | Professional | None | $51.29 | $77.62 | $281.84 |
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 $70.79 Typical High $77.62 | Professional | 52 · Reduced service | $47.86 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $19.05 | $28.18 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $107.15 Typical High $114.82 | Professional | 54 · Surgery only | $72.44 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $21.38 Typical High $22.91 | Professional | 55 · Aftercare only | $14.45 | $21.38 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $14.13 Typical High $15.49 | Professional | 56 · Pre-op care only | $9.55 | $14.13 | $15.49 |
Where Connecticut sits
The same service costs 3.6 times more in Wyoming 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· 19th of 51
$89.13
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.