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 $44.67 Median $48.98 Typical High $67.61 | Facility | None | $44.67 | $48.98 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | None | $20.89 | $21.88 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $56.23 | Facility | None | $24.55 | $32.36 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $29.51 Typical High $39.81 | Facility | None | $26.30 | $29.51 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
ConnectiCare Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $36.31 | Professional | None | $16.60 | $19.50 | $36.31 |
United Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $33.11 | Professional | None | $25.12 | $29.51 | $33.11 |
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 $10.47 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $10.47 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $4.17 | $4.37 | $4.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.24 Typical High $3.24 | Professional | 55 · Aftercare only | $3.16 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.19 Typical High $2.19 | Professional | 56 · Pre-op care only | $2.09 | $2.19 | $2.19 |
Where Connecticut sits
The same service costs 3.8 times more in Wyoming than in Kentucky. 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· 45th of 51
$20.89
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.