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 $20.42 Median $25.70 Typical High $38.02 | Facility | None | $20.42 | $25.70 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $18.62 | Professional | None | $17.38 | $17.78 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $25.12 Typical High $47.86 | Facility | None | $16.98 | $25.12 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $23.99 Typical High $33.11 | Facility | None | $21.38 | $23.99 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
ConnectiCare Setting Professional Modifier None Typical Low $17.38 Median $17.78 Typical High $20.42 | Professional | None | $17.38 | $17.78 | $20.42 |
United Setting Professional Modifier None Typical Low $15.49 Median $16.98 Typical High $18.62 | Professional | None | $15.49 | $16.98 | $18.62 |
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 $8.51 Median $8.91 Typical High $8.91 | Professional | 52 · Reduced service | $8.51 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $3.55 | Professional | 53 · Discontinued | $3.47 | $3.55 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $2.57 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.74 | $1.78 | $1.78 |
Where Connecticut sits
Rates are fairly even across states for this service. 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· 41st of 51
$17.38
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.