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 $30.90 Median $60.26 Typical High $125.89 | Professional | None | $30.90 | $60.26 | $125.89 |
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 $16.60 Median $46.77 Typical High $85.11 | Professional | None | $16.60 | $46.77 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $97.72 Typical High $295.12 | Facility | None | $85.11 | $97.72 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $61.66 Typical High $162.18 | Professional | None | $37.15 | $61.66 | $162.18 |
ConnectiCare Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $109.65 | Professional | None | $107.15 | $109.65 | $109.65 |
Health New England Setting Facility Modifier None Typical Low $398.11 Median $407.38 Typical High $426.58 | Facility | None | $398.11 | $407.38 | $426.58 |
Health New England Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
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 $27.54 Median $53.70 Typical High $104.71 | Professional | None | $27.54 | $53.70 | $104.71 |
3 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 54 · Surgery only Typical Low $23.99 Median $32.36 Typical High $79.43 | Professional | 54 · Surgery only | $23.99 | $32.36 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $6.46 Typical High $15.85 | Professional | 55 · Aftercare only | $4.79 | $6.46 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $4.37 Typical High $10.72 | Professional | 56 · Pre-op care only | $3.16 | $4.37 | $10.72 |
Where Connecticut sits
The same service costs 2.8 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· 49th of 51
$54.95
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.