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 $4,570.88 Median $7,585.78 Typical High $12,302.69 | Facility | None | $4,570.88 | $7,585.78 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $954.99 Typical High $954.99 | Professional | None | $602.56 | $954.99 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $22,908.68 Typical High $28,183.83 | Facility | None | $1,174.90 | $22,908.68 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $912.01 Typical High $1,174.90 | Professional | None | $588.84 | $912.01 | $1,174.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,348.96 Typical High $1,737.80 | Professional | 50 · Both sides | $870.96 | $1,348.96 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $21,379.62 Typical High $26,302.68 | Facility | None | $851.14 | $21,379.62 | $26,302.68 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,513.56 | Professional | None | $891.25 | $1,000.00 | $1,513.56 |
ConnectiCare Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,819.70 | Professional | None | $549.54 | $870.96 | $1,819.70 |
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 $295.12 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $295.12 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $120.23 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $446.68 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $89.13 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $60.26 | $95.50 | $95.50 |
Where Connecticut sits
The same service costs 11.7 times more in Oklahoma than in Utah. 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· 21st of 51
$1,047
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.