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 $75.86 Median $102.33 Typical High $144.54 | Professional | None | $75.86 | $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 $125.89 Typical High $162.18 | Professional | None | $81.28 | $125.89 | $162.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $177.83 Typical High $245.47 | Professional | 50 · Both sides | $120.23 | $177.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $154.88 Typical High $199.53 | Facility | None | $51.29 | $154.88 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $208.93 | Professional | None | $91.20 | $128.82 | $208.93 |
ConnectiCare Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $165.96 | Professional | None | $128.82 | $134.90 | $165.96 |
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 $58.88 Median $114.82 Typical High $257.04 | Professional | None | $58.88 | $114.82 | $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 $43.65 Median $51.29 Typical High $72.44 | Professional | 52 · Reduced service | $43.65 | $51.29 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.42 Typical High $28.84 | Professional | 53 · Discontinued | $17.38 | $20.42 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $15.14 Typical High $21.38 | Professional | 55 · Aftercare only | $13.18 | $15.14 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.23 Typical High $14.45 | Professional | 56 · Pre-op care only | $8.71 | $10.23 | $14.45 |
Where Connecticut sits
The same service costs 3.7 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· 12th of 51
$129
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.