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 $14,125.38 Median $17,782.79 Typical High $25,118.86 | Facility | None | $14,125.38 | $17,782.79 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $9,120.11 | Professional | None | $7,762.47 | $7,762.47 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,445.44 | Professional | None | $891.25 | $1,047.13 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $46,773.51 Typical High $85,113.80 | Facility | None | $630.96 | $46,773.51 | $85,113.80 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
ConnectiCare Setting Professional Modifier None Typical Low $4,365.16 Median $5,248.07 Typical High $8,709.64 | Professional | None | $4,365.16 | $5,248.07 | $8,709.64 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $10,471.29 Typical High $16,218.10 | Facility | None | $6,456.54 | $10,471.29 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $6,309.57 Typical High $9,549.93 | Professional | None | $1,479.11 | $6,309.57 | $9,549.93 |
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 $3,235.94 Median $3,890.45 Typical High $3,890.45 | Professional | 52 · Reduced service | $3,235.94 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,288.25 Median $1,548.82 Typical High $1,548.82 | Professional | 53 · Discontinued | $1,288.25 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $4,897.79 Median $5,754.40 Typical High $5,754.40 | Professional | 54 · Surgery only | $4,897.79 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $977.24 Median $1,148.15 Typical High $1,148.15 | Professional | 55 · Aftercare only | $977.24 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $645.65 Median $776.25 Typical High $776.25 | Professional | 56 · Pre-op care only | $645.65 | $776.25 | $776.25 |
Where Connecticut sits
The same service costs 14.1 times more in Alaska than in Missouri. 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· 47th of 51
$1,479
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.