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 $67.61 Median $75.86 Typical High $109.65 | Professional | None | $67.61 | $75.86 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $34.67 Typical High $54.95 | Professional | 52 · Reduced service | $33.88 | $34.67 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $21.88 | Professional | 53 · Discontinued | $13.49 | $13.80 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.23 Typical High $16.60 | Professional | 55 · Aftercare only | $10.00 | $10.23 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.92 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.76 | $6.92 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $89.13 Typical High $125.89 | Professional | None | $50.12 | $89.13 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $446.68 | Facility | None | $213.80 | $251.19 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $117.49 | Professional | None | $51.29 | $83.18 | $117.49 |
ConnectiCare Setting Professional Modifier None Typical Low $74.13 Median $123.03 Typical High $151.36 | Professional | None | $74.13 | $123.03 | $151.36 |
Health New England Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $112.20 | Professional | None | $45.71 | $67.61 | $112.20 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Connecticut sits
The same service costs 3.0 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· 29th 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.