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 $32.36 Median $42.66 Typical High $309.03 | Facility | None | $32.36 | $42.66 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $39.81 Typical High $53.70 | Professional | None | $22.91 | $39.81 | $53.70 |
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 $28.18 Median $42.66 Typical High $69.18 | Professional | None | $28.18 | $42.66 | $69.18 |
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 $30.20 Median $50.12 Typical High $72.44 | Professional | None | $30.20 | $50.12 | $72.44 |
ConnectiCare Setting Professional Modifier None Typical Low $40.74 Median $77.62 Typical High $100.00 | Professional | None | $40.74 | $77.62 | $100.00 |
Health New England Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $186.21 | Facility | None | $141.25 | $141.25 | $186.21 |
Health New England Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $107.15 | Professional | None | $56.23 | $70.79 | $107.15 |
United Setting Professional Modifier None Typical Low $25.12 Median $44.67 Typical High $75.86 | Professional | None | $25.12 | $44.67 | $75.86 |
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 $14.13 Median $16.22 Typical High $26.92 | Professional | 52 · Reduced service | $14.13 | $16.22 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.79 Typical High $7.94 | Professional | 55 · Aftercare only | $4.27 | $4.79 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.24 Typical High $5.37 | Professional | 56 · Pre-op care only | $2.88 | $3.24 | $5.37 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $30.20 Median $52.48 Typical High $60.26 | Professional | AF · Specialist physician | $30.20 | $52.48 | $60.26 |
Where Connecticut sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 21st of 51
$45.71
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.