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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $245.47 | Professional | None | $77.62 | $151.36 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $97.72 Typical High $186.21 | Professional | None | $35.48 | $97.72 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $524.81 Typical High $1,096.48 | Facility | None | $194.98 | $524.81 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $190.55 Typical High $269.15 | Professional | None | $85.11 | $190.55 | $269.15 |
ConnectiCare Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $269.15 | Professional | None | $257.04 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $426.58 | Professional | None | $75.86 | $181.97 | $426.58 |
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 $52.48 Median $52.48 Typical High $123.03 | Professional | 52 · Reduced service | $52.48 | $52.48 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $48.98 | Professional | 53 · Discontinued | $21.38 | $21.38 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $79.43 Typical High $181.97 | Professional | 54 · Surgery only | $79.43 | $79.43 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $15.85 Typical High $36.31 | Professional | 55 · Aftercare only | $15.85 | $15.85 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.47 Typical High $24.55 | Professional | 56 · Pre-op care only | $10.47 | $10.47 | $24.55 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska 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· 49th of 51
$117
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.