How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $81.28 Median $123.03 Typical High $123.03 | Professional | None | $81.28 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $199.53 | Professional | None | $77.62 | $107.15 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $660.69 | Facility | None | $257.04 | $363.08 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $186.21 | Professional | None | $104.71 | $128.82 | $186.21 |
ConnectiCare Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $138.04 | Professional | None | $89.13 | $112.20 | $138.04 |
United Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $223.87 | Professional | None | $87.10 | $117.49 | $223.87 |
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 $40.74 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $40.74 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $16.22 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $18.62 Typical High $18.62 | Professional | 55 · Aftercare only | $12.30 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $8.13 | $12.30 | $12.30 |
Where Connecticut sits
The same service costs 3.1 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· 19th of 51
$112
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.