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 $15.49 Median $16.98 Typical High $19.95 | Professional | None | $15.49 | $16.98 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $23.99 Typical High $38.90 | Facility | None | $17.78 | $23.99 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $22.91 Typical High $50.12 | Professional | None | $13.18 | $22.91 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $34.67 Typical High $70.79 | Facility | None | $13.80 | $34.67 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $28.18 Typical High $53.70 | Professional | None | $13.18 | $28.18 | $53.70 |
ConnectiCare Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $41.69 | Professional | None | $28.18 | $36.31 | $41.69 |
United Setting Professional Modifier None Typical Low $13.80 Median $32.36 Typical High $66.07 | Professional | None | $13.80 | $32.36 | $66.07 |
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 $7.76 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $7.76 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.31 Typical High $3.72 | Professional | 53 · Discontinued | $3.16 | $3.31 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $2.51 Typical High $2.82 | Professional | 55 · Aftercare only | $2.34 | $2.51 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $1.66 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.55 | $1.66 | $1.86 |
Where Connecticut sits
The same service costs 4.5 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· 34th of 51
$23.99
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.