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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $147.91 | Professional | None | $91.20 | $107.15 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $7,244.36 Typical High $10,000.00 | Facility | None | $5,623.41 | $7,244.36 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $151.36 | Professional | None | $77.62 | $91.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $165.96 | Professional | None | $83.18 | $93.33 | $165.96 |
ConnectiCare Setting Professional Modifier None Typical Low $30.90 Median $79.43 Typical High $131.83 | Professional | None | $30.90 | $79.43 | $131.83 |
Health New England Setting Professional Modifier None Typical Low $117.49 Median $123.03 Typical High $162.18 | Professional | None | $117.49 | $123.03 | $162.18 |
United Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $177.83 | Professional | None | $83.18 | $114.82 | $177.83 |
3 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 $38.02 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $38.02 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $18.20 Typical High $18.20 | Professional | 55 · Aftercare only | $11.48 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $12.30 Typical High $12.30 | Professional | 56 · Pre-op care only | $7.59 | $12.30 | $12.30 |
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· 26th of 51
$107
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.