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 $29.51 Median $37.15 Typical High $54.95 | Facility | None | $29.51 | $37.15 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $30.20 | Professional | None | $28.84 | $30.20 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $45.71 Typical High $138.04 | Facility | None | $33.11 | $45.71 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $40.74 Typical High $54.95 | Facility | None | $35.48 | $40.74 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
ConnectiCare Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | None | $30.20 | $30.20 | $40.74 |
United Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $27.54 | Professional | None | $22.39 | $24.55 | $27.54 |
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 $14.45 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $5.75 | $6.03 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $4.37 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.02 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.88 | $3.02 | $3.02 |
Where Connecticut sits
The same service costs 2.8 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· 28th of 51
$28.84
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.