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 $45.71 Median $69.18 Typical High $100.00 | Professional | None | $45.71 | $69.18 | $100.00 |
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 $52.48 Median $70.79 Typical High $97.72 | Professional | None | $52.48 | $70.79 | $97.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $79.43 Median $107.15 Typical High $147.91 | Professional | 50 · Both sides | $79.43 | $107.15 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $51.29 Typical High $1,000.00 | Facility | None | $50.12 | $51.29 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $95.50 Typical High $147.91 | Professional | None | $57.54 | $95.50 | $147.91 |
ConnectiCare Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $123.03 | Professional | None | $95.50 | $100.00 | $123.03 |
Health New England Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Health New England Setting Professional Modifier None Typical Low $93.33 Median $154.88 Typical High $158.49 | Professional | None | $93.33 | $154.88 | $158.49 |
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 $34.67 Median $74.13 Typical High $173.78 | Professional | None | $34.67 | $74.13 | $173.78 |
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 $29.51 Median $29.51 Typical High $48.98 | Professional | 52 · Reduced service | $29.51 | $29.51 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.02 Typical High $19.50 | Professional | 53 · Discontinued | $11.75 | $12.02 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $14.45 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $9.77 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $9.77 |
Where Connecticut sits
The same service costs 4.0 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· 16th of 51
$81.28
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.