How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $512,861 · 10th to 90th $512,861 to $524,807
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 $812,830.52 Median $1,023,292.99 Typical High $1,096,478.20 | Facility | None | $812,830.52 | $1,023,292.99 | $1,096,478.20 |
Aetna Setting Professional Modifier None Typical Low $512,861.38 Median $524,807.46 Typical High $524,807.46 | Professional | None | $512,861.38 | $524,807.46 | $524,807.46 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $257,039.58 Median $263,026.80 Typical High $263,026.80 | Professional | 52 · Reduced service | $257,039.58 | $263,026.80 | $263,026.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102,329.30 Median $107,151.93 Typical High $107,151.93 | Professional | 53 · Discontinued | $102,329.30 | $107,151.93 | $107,151.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75,857.76 Median $79,432.82 Typical High $79,432.82 | Professional | 55 · Aftercare only | $75,857.76 | $79,432.82 | $79,432.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51,286.14 Median $52,480.75 Typical High $52,480.75 | Professional | 56 · Pre-op care only | $51,286.14 | $52,480.75 | $52,480.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $512,861.38 Median $512,861.38 Typical High $512,861.38 | Professional | None | $512,861.38 | $512,861.38 | $512,861.38 |
Cigna Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $537,031.80 | Professional | None | $489,778.82 | $489,778.82 | $537,031.80 |
ConnectiCare Setting Professional Modifier None Typical Low $416,869.38 Median $489,778.82 Typical High $660,693.45 | Professional | None | $416,869.38 | $489,778.82 | $660,693.45 |
United Setting Professional Modifier None Typical Low $489,778.82 Median $489,778.82 Typical High $537,031.80 | Professional | None | $489,778.82 | $489,778.82 | $537,031.80 |
Where Connecticut sits
The same service costs 2.0 times more in Texas 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· 45th of 51
$512,861
TX $1,000,000NJ $489,779
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.