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 $26.92 Median $32.36 Typical High $46.77 | Professional | None | $26.92 | $32.36 | $46.77 |
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 $81.28 | Professional | None | $21.88 | $30.20 | $81.28 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $33.11 Median $45.71 Typical High $123.03 | Professional | 50 · Both sides | $33.11 | $45.71 | $123.03 |
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 $36.31 Median $66.07 Typical High $93.33 | Professional | None | $36.31 | $66.07 | $93.33 |
ConnectiCare Setting Professional Modifier None Typical Low $40.74 Median $70.79 Typical High $85.11 | Professional | None | $40.74 | $70.79 | $85.11 |
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 $18.62 Median $44.67 Typical High $93.33 | Professional | None | $18.62 | $44.67 | $93.33 |
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 $13.49 Median $15.49 Typical High $22.91 | Professional | 52 · Reduced service | $13.49 | $15.49 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.17 Typical High $9.33 | Professional | 53 · Discontinued | $5.37 | $6.17 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $4.68 Typical High $6.92 | Professional | 55 · Aftercare only | $4.07 | $4.68 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $3.09 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.69 | $3.09 | $4.68 |
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
$41.69
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.