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 $60.26 Median $89.13 Typical High $131.83 | Professional | None | $60.26 | $89.13 | $131.83 |
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 $54.95 Median $75.86 Typical High $134.90 | Professional | None | $54.95 | $75.86 | $134.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $83.18 Median $114.82 Typical High $204.17 | Professional | 50 · Both sides | $83.18 | $114.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $138.04 Typical High $177.83 | Facility | None | $51.29 | $138.04 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $181.97 | Professional | None | $83.18 | $123.03 | $181.97 |
ConnectiCare Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $154.88 | Professional | None | $117.49 | $131.83 | $154.88 |
Health New England Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $177.83 | Professional | None | $63.10 | $75.86 | $177.83 |
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 $41.69 Median $93.33 Typical High $223.87 | Professional | None | $41.69 | $93.33 | $223.87 |
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 $38.02 Median $44.67 Typical High $66.07 | Professional | 52 · Reduced service | $38.02 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $26.30 | Professional | 53 · Discontinued | $15.14 | $17.78 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.49 Typical High $19.95 | Professional | 55 · Aftercare only | $11.48 | $13.49 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.91 Typical High $13.18 | Professional | 56 · Pre-op care only | $7.59 | $8.91 | $13.18 |
Where Connecticut sits
The same service costs 3.8 times more in Alaska than in Virginia. 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· 22nd of 51
$89.13
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.