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 Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $89.13 | Professional | None | $57.54 | $89.13 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $363.08 Typical High $12,302.69 | Facility | None | $173.78 | $363.08 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $104.71 Typical High $125.89 | Professional | None | $50.12 | $104.71 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $263.03 | Facility | None | $229.09 | $251.19 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $154.88 | Professional | None | $72.44 | $89.13 | $154.88 |
ConnectiCare Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | None | $83.18 | $83.18 | $107.15 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $7,079.46 | Facility | None | $251.19 | $1,548.82 | $7,079.46 |
United Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $208.93 | Professional | None | $64.57 | $91.20 | $208.93 |
1 more rate 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 54 · Surgery only Typical Low $42.66 Median $66.07 Typical High $66.07 | Professional | 54 · Surgery only | $42.66 | $66.07 | $66.07 |
Where Connecticut sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 12th of 51
$105
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.