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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $104.71 | Professional | None | $64.57 | $77.62 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $117.49 | Professional | None | $72.44 | $85.11 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $138.04 | Professional | None | $70.79 | $77.62 | $138.04 |
ConnectiCare Setting Professional Modifier None Typical Low $30.90 Median $66.07 Typical High $125.89 | Professional | None | $30.90 | $66.07 | $125.89 |
Health New England Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $165.96 | Professional | None | $100.00 | $102.33 | $165.96 |
United Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $134.90 | Professional | None | $61.66 | $89.13 | $134.90 |
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 $27.54 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $12.88 Typical High $12.88 | Professional | 55 · Aftercare only | $8.32 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.50 | $8.71 | $8.71 |
Where Connecticut sits
The same service costs 2.4 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· 19th of 51
$85.11
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.