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 $30.20 Median $33.11 Typical High $45.71 | Facility | None | $30.20 | $33.11 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.05 Typical High $19.95 | Professional | None | $18.62 | $19.05 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $26.30 Typical High $48.98 | Facility | None | $20.42 | $26.30 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $26.30 Typical High $35.48 | Facility | None | $22.91 | $26.30 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
ConnectiCare Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $36.31 | Professional | None | $15.85 | $18.62 | $36.31 |
United Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $22.39 | Professional | None | $17.38 | $20.42 | $22.39 |
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 $9.33 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.33 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.72 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.75 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.86 | $1.95 | $1.95 |
Where Connecticut sits
The same service costs 1.8 times more in Hawaii than in Ohio. 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· 48th of 51
$18.62
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.