How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $30.20 Median $30.20 Typical High $32.36 | Facility | None | $30.20 | $30.20 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $15.14 | Professional | None | $14.45 | $15.14 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $22.91 Typical High $43.65 | Facility | None | $17.38 | $22.91 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $14.79 Typical High $14.79 | Professional | None | $7.08 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $28.84 | Facility | None | $16.98 | $16.98 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
ConnectiCare Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $4.90 | Professional | None | $4.57 | $4.90 | $4.90 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.40 Typical High $4.27 | Professional | None | $2.00 | $2.40 | $4.27 |
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 $7.24 Median $7.59 Typical High $7.59 | Professional | 52 · Reduced service | $7.24 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.02 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.14 Median $2.29 Typical High $2.29 | Professional | 55 · Aftercare only | $2.14 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.51 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.45 | $1.51 | $1.51 |
Where Connecticut sits
The same service costs 4.8 times more in Maryland than in Kentucky. 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· 16th of 51
$14.79
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.