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 $134.90 Median $134.90 Typical High $309.03 | Facility | None | $134.90 | $134.90 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $131.83 | Professional | None | $69.18 | $95.50 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $467.74 Typical High $588.84 | Facility | None | $407.38 | $467.74 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $151.36 | Professional | None | $70.79 | $102.33 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $194.98 Typical High $257.04 | Facility | None | $93.33 | $194.98 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $162.18 | Professional | None | $91.20 | $125.89 | $162.18 |
ConnectiCare Setting Professional Modifier None Typical Low $77.62 Median $190.55 Typical High $245.47 | Professional | None | $77.62 | $190.55 | $245.47 |
Health New England Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $229.09 | Facility | None | $173.78 | $181.97 | $229.09 |
Health New England Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $208.93 | Professional | None | $125.89 | $154.88 | $208.93 |
United Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $173.78 | Professional | None | $74.13 | $112.20 | $173.78 |
6 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 $45.71 Typical High $66.07 | Professional | 52 · Reduced service | $37.15 | $45.71 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $13.80 Typical High $19.50 | Professional | 55 · Aftercare only | $10.96 | $13.80 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.12 Typical High $13.18 | Professional | 56 · Pre-op care only | $7.41 | $9.12 | $13.18 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $70.79 Median $95.50 Typical High $138.04 | Professional | AF · Specialist physician | $70.79 | $95.50 | $138.04 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $53.70 Median $72.44 Typical High $104.71 | Professional | HO · Master's level | $53.70 | $72.44 | $104.71 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $60.26 Median $81.28 Typical High $117.49 | Professional | TD · Registered nurse | $60.26 | $81.28 | $117.49 |
Where Connecticut sits
The same service costs 2.3 times more in Alaska 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· 17th of 51
$112
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.