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 $19.95 Median $25.12 Typical High $37.15 | Facility | None | $19.95 | $25.12 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $27.54 | Professional | None | $25.12 | $25.70 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $38.90 Typical High $87.10 | Facility | None | $28.84 | $38.90 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $34.67 Typical High $47.86 | Facility | None | $30.90 | $34.67 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
ConnectiCare Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Professional | None | $25.70 | $25.70 | $34.67 |
United Setting Professional Modifier None Typical Low $14.79 Median $16.60 Typical High $70.79 | Professional | None | $14.79 | $16.60 | $70.79 |
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 $12.30 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.30 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $5.01 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.72 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.45 | $2.57 | $2.57 |
Where Connecticut sits
The same service costs 1.9 times more in Wyoming than in Arizona. 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
$25.12
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.