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 $77.62 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $77.62 | $87.10 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $91.20 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $83.18 Typical High $117.49 | Professional | None (both parts) | $61.66 | $83.18 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $173.78 | Professional | TC · Technical part | $128.82 | $154.88 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $501.19 Typical High $1,905.46 | Facility | None | $234.42 | $501.19 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $97.72 | $158.49 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $123.03 | $154.88 |
ConnectiCare Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $81.28 | $107.15 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $87.10 | $128.82 | $251.19 |
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 $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $40.74 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $16.60 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $12.30 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.13 | $13.18 | $13.18 |
Where Connecticut sits
The same service costs 2.9 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· 41st of 51
$87.10
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.