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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $5,128.61 | Professional | None | $234.42 | $446.68 | $5,128.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $2,454.71 Typical High $5,011.87 | Professional | None | $302.00 | $2,454.71 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $8,912.51 Typical High $10,964.78 | Facility | None | $851.14 | $8,912.51 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $3,981.07 Typical High $6,456.54 | Professional | None | $380.19 | $3,981.07 | $6,456.54 |
ConnectiCare Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
ConnectiCare Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Health New England Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,981.07 | Facility | None | $1,949.84 | $1,949.84 | $3,981.07 |
Health New England Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $6,165.95 | Professional | None | $457.09 | $457.09 | $6,165.95 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $257.04 Median $1,071.52 Typical High $9,332.54 | Professional | None | $257.04 | $1,071.52 | $9,332.54 |
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 $144.54 Median $186.21 Typical High $2,570.40 | Professional | 52 · Reduced service | $144.54 | $186.21 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $74.13 Typical High $1,023.29 | Professional | 53 · Discontinued | $57.54 | $74.13 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $275.42 Typical High $3,801.89 | Professional | 54 · Surgery only | $218.78 | $275.42 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $54.95 Typical High $758.58 | Professional | 55 · Aftercare only | $43.65 | $54.95 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $37.15 Typical High $512.86 | Professional | 56 · Pre-op care only | $28.84 | $37.15 | $512.86 |
Where Connecticut sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 16th of 51
$3,020
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.