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 $223.87 Median $281.84 Typical High $309.03 | Facility | None | $223.87 | $281.84 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $162.18 | Professional | None | $147.91 | $154.88 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $213.80 Typical High $398.11 | Facility | None | $147.91 | $213.80 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $281.84 | Facility | None | $186.21 | $208.93 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
ConnectiCare Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $371.54 | Professional | None | $138.04 | $162.18 | $371.54 |
United Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $147.91 | Professional | None | $114.82 | $134.90 | $147.91 |
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 $74.13 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $29.51 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.79 | $15.49 | $15.49 |
Where Connecticut sits
The same service costs 2.4 times more in Wyoming than in New York. 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· 39th of 51
$148
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.