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 Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $724.44 | Facility | None | $257.04 | $407.38 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $181.97 Typical High $181.97 | Professional | None | $104.71 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $338.84 | Professional | None | $158.49 | $229.09 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $338.84 Typical High $1,230.27 | Facility | None | $190.55 | $338.84 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $199.53 | Professional | None | $128.82 | $141.25 | $199.53 |
ConnectiCare Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $181.97 | Professional | None | $107.15 | $131.83 | $181.97 |
United Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $234.42 | Professional | None | $93.33 | $125.89 | $234.42 |
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 $52.48 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $52.48 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $20.89 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $15.49 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $18.20 Typical High $18.20 | Professional | 56 · Pre-op care only | $10.47 | $18.20 | $18.20 |
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· 10th of 51
$182
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.