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 $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,981.07 | $4,073.80 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $3,235.94 | Professional | None | $2,137.96 | $2,511.89 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $7,762.47 | Facility | None | $4,677.35 | $4,677.35 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
ConnectiCare Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $3,981.07 | Professional | None | $2,344.23 | $2,754.23 | $3,981.07 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $4,570.88 | Professional | None | $3,548.13 | $4,168.69 | $4,570.88 |
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 $1,995.26 Median $2,041.74 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,995.26 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | 53 · Discontinued | $794.33 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | 55 · Aftercare only | $602.56 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 56 · Pre-op care only | $398.11 | $407.38 | $407.38 |
Where Connecticut sits
The same service costs 2.2 times more in Alaska than in South 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· 48th of 51
$3,236
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.