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 Professional Modifier None Typical Low $3,388.44 Median $3,548.13 Typical High $3,715.35 | Professional | None | $3,388.44 | $3,548.13 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $4,786.30 Typical High $8,912.51 | Facility | None | $1,584.89 | $4,786.30 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,548.13 | Professional | None | $3,467.37 | $3,467.37 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $6,760.83 | Facility | None | $4,073.80 | $4,073.80 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
ConnectiCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $3,890.45 | Professional | None | $3,311.31 | $3,467.37 | $3,890.45 |
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 $1,698.24 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $1,698.24 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $676.08 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $537.03 Typical High $537.03 | Professional | 55 · Aftercare only | $501.19 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $338.84 | $354.81 | $354.81 |
Where Connecticut sits
The same service costs 1.6 times more in North Carolina than in Nebraska. 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· 8th of 51
$3,548
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.