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 $5,623.41 Median $7,244.36 Typical High $10,715.19 | Facility | None | $5,623.41 | $7,244.36 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $4,786.30 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,786.30 | $5,011.87 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $12,589.25 | Facility | None | $0.02 | $0.02 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $4,897.79 Typical High $5,623.41 | Professional | None | $3,715.35 | $4,897.79 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $6,165.95 Median $7,079.46 Typical High $9,549.93 | Facility | None | $6,165.95 | $7,079.46 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
ConnectiCare Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,165.95 | Professional | None | $5,370.32 | $5,370.32 | $6,165.95 |
United Setting Professional Modifier None Typical Low $4,365.16 Median $4,897.79 Typical High $5,370.32 | Professional | None | $4,365.16 | $4,897.79 | $5,370.32 |
4 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 $2,344.23 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,344.23 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $954.99 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $954.99 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | 55 · Aftercare only | $707.95 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $478.63 Median $501.19 Typical High $501.19 | Professional | 56 · Pre-op care only | $478.63 | $501.19 | $501.19 |
Where Connecticut sits
The same service costs 1.8 times more in Alaska than in North Carolina. 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· 28th of 51
$5,012
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.