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 $51.29 Median $64.57 Typical High $112.20 | Professional | None | $51.29 | $64.57 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $31.62 Typical High $56.23 | Professional | 52 · Reduced service | $25.70 | $31.62 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $12.59 Typical High $22.39 | Professional | 53 · Discontinued | $10.23 | $12.59 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $9.55 Typical High $16.60 | Professional | 55 · Aftercare only | $7.76 | $9.55 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $6.31 Typical High $11.22 | Professional | 56 · Pre-op care only | $5.13 | $6.31 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $75.86 Typical High $117.49 | Professional | None | $36.31 | $75.86 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $407.38 | Facility | None | $162.18 | $229.09 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $85.11 Typical High $117.49 | Professional | None | $40.74 | $85.11 | $117.49 |
ConnectiCare Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $144.54 | Professional | None | $70.79 | $114.82 | $144.54 |
Health New England Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $36.31 Median $58.88 Typical High $109.65 | Professional | None | $36.31 | $58.88 | $109.65 |
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 2.5 times more in Alaska than in Washington, DC. 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· 33rd of 51
$69.18
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.