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 $70.79 Median $87.10 Typical High $120.23 | Professional | None | $70.79 | $87.10 | $120.23 |
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 $61.66 Median $100.00 Typical High $131.83 | Professional | None | $61.66 | $100.00 | $131.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $87.10 Median $131.83 Typical High $199.53 | Professional | 50 · Both sides | $87.10 | $131.83 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $141.25 | Facility | None | $51.29 | $109.65 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $177.83 | Professional | None | $91.20 | $125.89 | $177.83 |
ConnectiCare Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $162.18 | Professional | None | $95.50 | $134.90 | $162.18 |
Health New England Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $218.78 | Professional | None | $162.18 | $162.18 | $218.78 |
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 $52.48 Median $100.00 Typical High $199.53 | Professional | None | $52.48 | $100.00 | $199.53 |
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 $37.15 Median $42.66 Typical High $58.88 | Professional | 52 · Reduced service | $37.15 | $42.66 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.98 Typical High $23.44 | Professional | 53 · Discontinued | $15.14 | $16.98 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $12.59 Typical High $17.78 | Professional | 55 · Aftercare only | $11.22 | $12.59 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.51 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.41 | $8.51 | $11.75 |
Where Connecticut sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 15th of 51
$105
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.