How much rates vary
Facilitymedian $1,622 · 10th to 90th $288 to $8,128Professionalmedian $1,000 · 10th to 90th $589 to $2,042
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 $4,365.16 Median $6,760.83 Typical High $52,480.75 | Facility | None | $4,365.16 | $6,760.83 | $52,480.75 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $489.78 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $371.54 | $562.34 | $562.34 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $199.53 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,174.90 Typical High $1,348.96 | Professional | None (both parts) | $478.63 | $1,174.90 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $794.33 Typical High $977.24 | Professional | 26 · Professional part | $380.19 | $794.33 | $977.24 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $602.56 Typical High $707.95 | Professional | TC · Technical part | $269.15 | $602.56 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $3,388.44 | Facility | None | $645.65 | $870.96 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,000.00 Typical High $1,412.54 | Professional | None (both parts) | $676.08 | $1,000.00 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $645.65 Typical High $1,047.13 | Professional | 26 · Professional part | $489.78 | $645.65 | $1,047.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $316.23 | $512.86 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,348.96 | Professional | None (both parts) | $831.76 | $831.76 | $1,348.96 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,677.35 | Facility | None | $251.19 | $1,548.82 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,071.52 Typical High $2,511.89 | Professional | None (both parts) | $741.31 | $1,071.52 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $616.60 Typical High $1,479.11 | Professional | 26 · Professional part | $426.58 | $616.60 | $1,479.11 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $1,000.00 | Professional | TC · Technical part | $302.00 | $478.63 | $1,000.00 |
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 $245.47 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $245.47 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $97.72 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $371.54 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $74.13 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $48.98 | $75.86 | $75.86 |
Where Connecticut sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 10th of 51
$1,047
NE $2,818MD $501
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.