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 $123.03 Median $229.09 Typical High $309.03 | Facility | None | $123.03 | $229.09 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $199.53 | Professional | None | $117.49 | $151.36 | $199.53 |
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 $114.82 Median $158.49 Typical High $229.09 | Professional | None | $114.82 | $158.49 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $199.53 Typical High $269.15 | Facility | None | $93.33 | $199.53 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $251.19 | Professional | None | $134.90 | $177.83 | $251.19 |
ConnectiCare Setting Professional Modifier None Typical Low $81.28 Median $190.55 Typical High $346.74 | Professional | None | $81.28 | $190.55 | $346.74 |
Health New England Setting Facility Modifier None Typical Low $173.78 Median $186.21 Typical High $257.04 | Facility | None | $173.78 | $186.21 | $257.04 |
Health New England Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $288.40 | Professional | None | $165.96 | $251.19 | $288.40 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $263.03 | Professional | None | $123.03 | $173.78 | $263.03 |
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 $58.88 Median $77.62 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $23.44 Typical High $30.20 | Professional | 55 · Aftercare only | $17.78 | $23.44 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $15.49 Typical High $19.95 | Professional | 56 · Pre-op care only | $11.75 | $15.49 | $19.95 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $120.23 Median $154.88 Typical High $229.09 | Professional | AF · Specialist physician | $120.23 | $154.88 | $229.09 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $91.20 Median $117.49 Typical High $169.82 | Professional | HO · Master's level | $91.20 | $117.49 | $169.82 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $102.33 Median $131.83 Typical High $194.98 | Professional | TD · Registered nurse | $102.33 | $131.83 | $194.98 |
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
$170
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.