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 $72.44 Median $102.33 Typical High $144.54 | Professional | None | $72.44 | $102.33 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $165.96 | Professional | None | $81.28 | $123.03 | $165.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $181.97 Typical High $251.19 | Professional | 50 · Both sides | $123.03 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $158.49 Typical High $204.17 | Facility | None | $51.29 | $158.49 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $213.80 | Professional | None | $97.72 | $131.83 | $213.80 |
ConnectiCare Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $169.82 | Professional | None | $128.82 | $138.04 | $169.82 |
Health New England Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | None | $158.49 | $158.49 | $190.55 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $60.26 Median $117.49 Typical High $257.04 | Professional | None | $60.26 | $117.49 | $257.04 |
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 $44.67 Median $51.29 Typical High $72.44 | Professional | 52 · Reduced service | $44.67 | $51.29 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $28.84 | Professional | 53 · Discontinued | $17.78 | $20.42 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $15.49 Typical High $21.88 | Professional | 55 · Aftercare only | $13.18 | $15.49 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.23 Typical High $14.45 | Professional | 56 · Pre-op care only | $8.91 | $10.23 | $14.45 |
Where Connecticut sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 13th of 51
$132
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.