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 $1,698.24 Median $5,754.40 Typical High $8,511.38 | Facility | None | $1,698.24 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $97.72 | Professional | None | $61.66 | $79.43 | $97.72 |
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 $54.95 Median $79.43 Typical High $123.03 | Professional | None | $54.95 | $79.43 | $123.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $81.28 Median $120.23 Typical High $181.97 | Professional | 50 · Both sides | $81.28 | $120.23 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $100.00 | Facility | None | $50.12 | $70.79 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $83.18 Typical High $134.90 | Professional | None | $43.65 | $83.18 | $134.90 |
ConnectiCare Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $112.20 | Professional | None | $45.71 | $74.13 | $112.20 |
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 $50.12 Median $74.13 Typical High $194.98 | Professional | None | $50.12 | $74.13 | $194.98 |
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 $33.88 Median $39.81 Typical High $48.98 | Professional | 52 · Reduced service | $33.88 | $39.81 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.85 Typical High $19.50 | Professional | 53 · Discontinued | $13.49 | $15.85 | $19.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $60.26 Typical High $74.13 | Professional | 54 · Surgery only | $51.29 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $12.02 Typical High $14.79 | Professional | 55 · Aftercare only | $10.23 | $12.02 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.94 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.76 | $7.94 | $9.77 |
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· 19th of 51
$79.43
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.