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 $89.13 Median $102.33 Typical High $134.90 | Professional | None | $89.13 | $102.33 | $134.90 |
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 $89.13 Median $138.04 Typical High $177.83 | Professional | None | $89.13 | $138.04 | $177.83 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $199.53 Typical High $269.15 | Professional | 50 · Both sides | $131.83 | $199.53 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $147.91 Typical High $190.55 | Facility | None | $51.29 | $147.91 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $234.42 | Professional | None | $112.20 | $141.25 | $234.42 |
ConnectiCare Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $181.97 | Professional | None | $141.25 | $147.91 | $181.97 |
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 $69.18 Median $128.82 Typical High $288.40 | Professional | None | $69.18 | $128.82 | $288.40 |
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 $44.67 Median $51.29 Typical High $67.61 | Professional | 52 · Reduced service | $44.67 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $26.92 | Professional | 53 · Discontinued | $17.78 | $20.42 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $15.14 Typical High $19.95 | Professional | 55 · Aftercare only | $13.49 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $10.23 Typical High $13.49 | Professional | 56 · Pre-op care only | $8.91 | $10.23 | $13.49 |
Where Connecticut sits
The same service costs 3.8 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· 12th of 51
$135
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.