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 $30.20 Median $41.69 Typical High $58.88 | Professional | None | $30.20 | $41.69 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $5,370.32 Typical High $6,760.83 | Facility | None | $4,786.30 | $5,370.32 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $22.39 Typical High $42.66 | Professional | None | $10.96 | $22.39 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $151.36 | Facility | None | $91.20 | $107.15 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $67.61 | Professional | None | $23.44 | $30.20 | $67.61 |
ConnectiCare Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | None | $56.23 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $47.86 | Professional | None | $20.89 | $33.88 | $47.86 |
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 $5.13 Median $5.13 Typical High $8.71 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $5.75 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $5.75 |
Where Connecticut sits
The same service costs 2.5 times more in Alaska than in Maryland. 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· 50th of 51
$28.18
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.