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 (both parts) Typical Low $47.86 Median $47.86 Typical High $102.33 | Professional | None (both parts) | $47.86 | $47.86 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $30.20 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $36.31 | Professional | TC · Technical part | $17.38 | $17.38 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $91.20 Typical High $120.23 | Professional | None (both parts) | $79.43 | $91.20 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $269.15 Typical High $758.58 | Facility | None | $97.72 | $269.15 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $104.71 | $223.87 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $144.54 Typical High $199.53 | Professional | 26 · Professional part | $67.61 | $144.54 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $36.31 | $77.62 | $107.15 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $104.71 | $141.25 | $162.18 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $3,890.45 Typical High $7,079.46 | Facility | None | $1,318.26 | $3,890.45 | $7,079.46 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $74.13 | $131.83 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $83.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $32.36 | $52.48 | $85.11 |
2 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 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $15.49 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $10.23 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $10.23 |
Where Connecticut sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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· 42nd of 51
$91.20
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.