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 $41.69 Median $42.66 Typical High $64.57 | Professional | None | $41.69 | $42.66 | $64.57 |
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 $35.48 Median $51.29 Typical High $81.28 | Professional | None | $35.48 | $51.29 | $81.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $74.13 Typical High $123.03 | Professional | 50 · Both sides | $53.70 | $74.13 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $52.48 Typical High $91.20 | Facility | None | $47.86 | $52.48 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $100.00 | Professional | None | $47.86 | $67.61 | $100.00 |
ConnectiCare Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $83.18 | Professional | None | $52.48 | $70.79 | $83.18 |
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 $25.70 Median $53.70 Typical High $112.20 | Professional | None | $25.70 | $53.70 | $112.20 |
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 $20.89 Median $21.38 Typical High $32.36 | Professional | 52 · Reduced service | $20.89 | $21.38 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $12.88 | Professional | 53 · Discontinued | $8.32 | $8.51 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.31 Typical High $9.77 | Professional | 55 · Aftercare only | $6.17 | $6.31 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.27 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.17 | $4.27 | $6.46 |
Where Connecticut sits
The same service costs 3.3 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
$51.29
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.