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 Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $131.83 | Professional | None | $91.20 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $199.53 | Professional | None | $128.82 | $154.88 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
ConnectiCare Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $141.25 | Professional | None | $81.28 | $114.82 | $141.25 |
United Setting Professional Modifier None Typical Low $128.82 Median $218.78 Typical High $288.40 | Professional | None | $128.82 | $218.78 | $288.40 |
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 $48.98 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $48.98 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $19.50 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $14.79 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $9.77 | $13.18 | $13.18 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in West Virginia. 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· 11th of 51
$151
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.