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 Facility Modifier None Typical Low $1,023.29 Median $3,715.35 Typical High $6,309.57 | Facility | None | $1,023.29 | $3,715.35 | $6,309.57 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $162.18 | Professional | None | $93.33 | $134.90 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,677.35 Typical High $8,912.51 | Facility | None | $3,548.13 | $4,677.35 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $190.55 | Professional | None | $104.71 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $4,168.69 Typical High $8,128.31 | Facility | None | $2,187.76 | $4,168.69 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $186.21 | Professional | None | $117.49 | $144.54 | $186.21 |
ConnectiCare Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $245.47 | Professional | None | $112.20 | $141.25 | $245.47 |
Health New England Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | None | $177.83 | $177.83 | $229.09 |
United Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $199.53 | Professional | None | $102.33 | $138.04 | $199.53 |
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 52 · Reduced service Typical Low $45.71 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $45.71 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $19.95 Typical High $22.39 | Professional | 55 · Aftercare only | $13.80 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $13.49 Typical High $14.79 | Professional | 56 · Pre-op care only | $9.12 | $13.49 | $14.79 |
Where Connecticut sits
The same service costs 2.7 times more in Alaska than in New Jersey. 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· 19th of 51
$141
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.