How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 (both parts) Typical Low $977.24 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $977.24 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $190.55 | $295.12 | $295.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $794.33 | $1,230.27 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,148.15 Typical High $1,905.46 | Professional | None (both parts) | $831.76 | $1,148.15 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $245.47 Typical High $354.81 | Professional | 26 · Professional part | $181.97 | $245.47 | $354.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,122.02 Typical High $1,380.38 | Professional | TC · Technical part | $794.33 | $1,122.02 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $2,511.89 Typical High $3,981.07 | Facility | None | $1,230.27 | $2,511.89 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,445.44 Typical High $2,691.53 | Professional | None (both parts) | $1,318.26 | $1,445.44 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $269.15 Typical High $524.81 | Professional | 26 · Professional part | $251.19 | $269.15 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,174.90 Typical High $2,187.76 | Professional | TC · Technical part | $1,047.13 | $1,174.90 | $2,187.76 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,089.30 Typical High $4,466.84 | Professional | None (both parts) | $1,318.26 | $2,089.30 | $4,466.84 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,288.25 Typical High $2,041.74 | Professional | None (both parts) | $616.60 | $1,288.25 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $316.23 Typical High $575.44 | Professional | 26 · Professional part | $208.93 | $316.23 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $794.33 Typical High $1,548.82 | Professional | TC · Technical part | $398.11 | $794.33 | $1,548.82 |
4 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 $489.78 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $489.78 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $194.98 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $144.54 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $97.72 | $151.36 | $151.36 |
Where Connecticut sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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· 14th of 51
$1,445
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.