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 $46.77 Median $51.29 Typical High $69.18 | Facility | None | $46.77 | $51.29 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | None | $30.90 | $31.62 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $43.65 Typical High $81.28 | Facility | None | $33.11 | $43.65 | $81.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $43.65 Typical High $58.88 | Facility | None | $38.02 | $43.65 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
ConnectiCare Setting Professional Modifier None Typical Low $30.90 Median $31.62 Typical High $36.31 | Professional | None | $30.90 | $31.62 | $36.31 |
United Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $33.88 | Professional | None | $27.54 | $30.90 | $33.88 |
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 $15.49 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.49 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $6.17 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | 55 · Aftercare only | $4.57 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.16 Typical High $3.16 | Professional | 56 · Pre-op care only | $3.09 | $3.16 | $3.16 |
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
$30.90
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.