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 $234.42 Median $323.59 Typical High $436.52 | Professional | None | $234.42 | $323.59 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $588.84 | Professional | None | $323.59 | $426.58 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
ConnectiCare Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $977.24 | Professional | None | $575.44 | $707.95 | $977.24 |
United Setting Professional Modifier None Typical Low $302.00 Median $478.63 Typical High $933.25 | Professional | None | $302.00 | $478.63 | $933.25 |
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 $158.49 Median $213.80 Typical High $218.78 | Professional | 52 · Reduced service | $158.49 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $85.11 Typical High $87.10 | Professional | 53 · Discontinued | $63.10 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $46.77 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $42.66 Typical High $43.65 | Professional | 56 · Pre-op care only | $31.62 | $42.66 | $43.65 |
Where Connecticut sits
The same service costs 2.1 times more in Wyoming than in Maryland. 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· 36th of 51
$380
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.