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 $691.83 Median $933.25 Typical High $1,202.26 | Professional | None | $691.83 | $933.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,819.70 | Professional | None | $851.14 | $1,318.26 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $2,691.53 | Facility | None | $501.19 | $1,000.00 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $2,290.87 | Professional | None | $1,023.29 | $1,288.25 | $2,290.87 |
ConnectiCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,137.96 | Professional | None | $1,000.00 | $1,000.00 | $2,137.96 |
Health New England Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $645.65 Median $1,023.29 Typical High $1,949.84 | Professional | None | $645.65 | $1,023.29 | $1,949.84 |
3 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 $380.19 Median $467.74 Typical High $602.56 | Professional | 52 · Reduced service | $380.19 | $467.74 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $141.25 Typical High $181.97 | Professional | 55 · Aftercare only | $112.20 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $93.33 Typical High $120.23 | Professional | 56 · Pre-op care only | $75.86 | $93.33 | $120.23 |
Where Connecticut sits
The same service costs 3.2 times more in Alaska than in Indiana. 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
$1,230
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.