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 $26.30 Median $30.90 Typical High $43.65 | Professional | None | $26.30 | $30.90 | $43.65 |
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 $21.88 Median $30.20 Typical High $89.13 | Professional | None | $21.88 | $30.20 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $70.79 | Facility | None | $37.15 | $42.66 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $91.20 | Professional | None | $35.48 | $64.57 | $91.20 |
ConnectiCare Setting Professional Modifier None Typical Low $37.15 Median $74.13 Typical High $91.20 | Professional | None | $37.15 | $74.13 | $91.20 |
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 $18.20 Median $43.65 Typical High $87.10 | Professional | None | $18.20 | $43.65 | $87.10 |
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 $13.18 Median $14.45 Typical High $21.88 | Professional | 52 · Reduced service | $13.18 | $14.45 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.75 Typical High $8.91 | Professional | 53 · Discontinued | $5.25 | $5.75 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.37 Typical High $6.61 | Professional | 55 · Aftercare only | $3.98 | $4.37 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.88 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.63 | $2.88 | $4.37 |
Where Connecticut sits
The same service costs 3.5 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· 21st of 51
$40.74
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.