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 $74.13 Median $125.89 Typical High $125.89 | Professional | None | $74.13 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $245.47 | Professional | None | $120.23 | $165.96 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $173.78 Typical High $331.13 | Facility | None | $54.95 | $173.78 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $144.54 | Professional | None | $93.33 | $102.33 | $144.54 |
ConnectiCare Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $131.83 | Professional | None | $79.43 | $97.72 | $131.83 |
United Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $186.21 | Professional | None | $70.79 | $93.33 | $186.21 |
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 $37.15 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $37.15 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $15.14 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $11.22 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.41 | $12.59 | $12.59 |
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· 9th of 51
$135
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.