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 $114.82 Median $169.82 Typical High $199.53 | Facility | None | $114.82 | $169.82 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $147.91 | Professional | None | $85.11 | $114.82 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $158.49 | Professional | None | $60.26 | $81.28 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $190.55 | Professional | None | $114.82 | $147.91 | $190.55 |
ConnectiCare Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $181.97 | Professional | None | $114.82 | $141.25 | $181.97 |
United Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $194.98 | Professional | None | $93.33 | $134.90 | $194.98 |
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 $44.67 Median $57.54 Typical High $74.13 | Professional | 52 · Reduced service | $44.67 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $16.98 Typical High $22.39 | Professional | 55 · Aftercare only | $13.49 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.48 Typical High $14.79 | Professional | 56 · Pre-op care only | $9.12 | $11.48 | $14.79 |
Where Connecticut sits
The same service costs 2.5 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· 24th of 51
$115
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.