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 $58.88 Median $66.07 Typical High $95.50 | Professional | None | $58.88 | $66.07 | $95.50 |
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 $51.29 Median $77.62 Typical High $102.33 | Professional | None | $51.29 | $77.62 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $107.15 | Facility | None | $50.12 | $83.18 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $141.25 | Professional | None | $66.07 | $93.33 | $141.25 |
ConnectiCare Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $109.65 | Professional | None | $79.43 | $100.00 | $109.65 |
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 $38.02 Median $75.86 Typical High $165.96 | Professional | None | $38.02 | $75.86 | $165.96 |
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 $29.51 Median $33.11 Typical High $47.86 | Professional | 52 · Reduced service | $29.51 | $33.11 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $13.49 Typical High $19.50 | Professional | 53 · Discontinued | $11.75 | $13.49 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.00 Typical High $14.45 | Professional | 55 · Aftercare only | $8.91 | $10.00 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $6.61 Typical High $9.55 | Professional | 56 · Pre-op care only | $5.89 | $6.61 | $9.55 |
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· 13th of 51
$77.62
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.