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 $16.22 Median $63.10 Typical High $107.15 | Professional | None | $16.22 | $63.10 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $26.30 Typical High $83.18 | Professional | None | $19.05 | $26.30 | $83.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $39.81 Typical High $125.89 | Professional | 50 · Both sides | $28.84 | $39.81 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $141.25 Typical High $512.86 | Facility | None | $51.29 | $141.25 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $104.71 Typical High $169.82 | Professional | None | $24.55 | $104.71 | $169.82 |
ConnectiCare Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $128.82 | Professional | None | $83.18 | $104.71 | $128.82 |
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 $14.13 Median $60.26 Typical High $213.80 | Professional | None | $14.13 | $60.26 | $213.80 |
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 $11.22 Median $33.88 Typical High $52.48 | Professional | 52 · Reduced service | $11.22 | $33.88 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $13.49 Typical High $21.38 | Professional | 53 · Discontinued | $4.57 | $13.49 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.39 Median $10.47 Typical High $15.85 | Professional | 55 · Aftercare only | $3.39 | $10.47 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $6.92 Typical High $10.72 | Professional | 56 · Pre-op care only | $2.29 | $6.92 | $10.72 |
Where Connecticut sits
The same service costs 5.9 times more in Iowa 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· 45th of 51
$34.67
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.