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 $66.07 Median $74.13 Typical High $128.82 | Professional | None | $66.07 | $74.13 | $128.82 |
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 $66.07 Median $79.43 Typical High $102.33 | Professional | None | $66.07 | $79.43 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $151.36 Typical High $194.98 | Facility | None | $51.29 | $151.36 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $112.20 Typical High $190.55 | Professional | None | $64.57 | $112.20 | $190.55 |
ConnectiCare Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | None | $117.49 | $117.49 | $151.36 |
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 $38.90 Median $91.20 Typical High $229.09 | Professional | None | $38.90 | $91.20 | $229.09 |
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 $33.11 Median $37.15 Typical High $64.57 | Professional | 52 · Reduced service | $33.11 | $37.15 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $25.70 | Professional | 53 · Discontinued | $13.49 | $14.79 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.96 Typical High $19.50 | Professional | 55 · Aftercare only | $10.00 | $10.96 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.41 Typical High $12.88 | Professional | 56 · Pre-op care only | $6.61 | $7.41 | $12.88 |
Where Connecticut sits
The same service costs 3.9 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· 24th of 51
$83.18
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.