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 $14.79 Median $18.62 Typical High $19.95 | Facility | None | $14.79 | $18.62 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.33 Typical High $9.33 | Professional | None | $8.91 | $9.33 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $14.45 Typical High $36.31 | Facility | None | $10.72 | $14.45 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.33 | Professional | None | $9.12 | $9.12 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $13.18 Typical High $17.78 | Facility | None | $11.48 | $13.18 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
ConnectiCare Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $14.45 | Professional | None | $10.47 | $12.59 | $14.45 |
United Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $9.55 | Professional | None | $8.32 | $9.12 | $9.55 |
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 $4.47 Median $4.68 Typical High $4.68 | Professional | 52 · Reduced service | $4.47 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.86 Typical High $1.86 | Professional | 53 · Discontinued | $1.78 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.35 Median $1.41 Typical High $1.41 | Professional | 55 · Aftercare only | $1.35 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.89 Median $0.93 Typical High $0.93 | Professional | 56 · Pre-op care only | $0.89 | $0.93 | $0.93 |
Where Connecticut sits
The same service costs 1.8 times more in Alaska than in Montana. 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· 30th of 51
$9.33
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.