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 $4,365.16 Median $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $208.93 | Professional | None | $141.25 | $194.98 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $269.15 | Professional | None | $114.82 | $154.88 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $707.95 | Facility | None | $114.82 | $288.40 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $169.82 Typical High $281.84 | Professional | None | $97.72 | $169.82 | $281.84 |
ConnectiCare Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $208.93 | Professional | None | $199.53 | $208.93 | $208.93 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $371.54 | Professional | None | $123.03 | $181.97 | $371.54 |
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 $70.79 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $70.79 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $28.18 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $147.91 Typical High $147.91 | Professional | 54 · Surgery only | $104.71 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $20.89 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $14.13 | $19.50 | $19.50 |
Where Connecticut sits
The same service costs 3.2 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· 23rd of 51
$170
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.