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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $158.49 | Professional | None | $66.07 | $91.20 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $48.98 Typical High $85.11 | Facility | None | $46.77 | $48.98 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $213.80 | Professional | None | $75.86 | $123.03 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
ConnectiCare Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $295.12 | Professional | None | $173.78 | $213.80 | $295.12 |
United Setting Professional Modifier None Typical Low $70.79 Median $141.25 Typical High $309.03 | Professional | None | $70.79 | $141.25 | $309.03 |
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 $34.67 Median $44.67 Typical High $79.43 | Professional | 52 · Reduced service | $34.67 | $44.67 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $18.20 Typical High $31.62 | Professional | 53 · Discontinued | $13.80 | $18.20 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $13.49 Typical High $23.99 | Professional | 55 · Aftercare only | $10.47 | $13.49 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.12 Typical High $15.85 | Professional | 56 · Pre-op care only | $6.92 | $9.12 | $15.85 |
Where Connecticut sits
The same service costs 2.3 times more in Alaska than in Michigan. 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· 14th of 51
$135
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.