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 Professional Modifier None Typical Low $2.34 Median $3.09 Typical High $3.09 | Professional | None | $2.34 | $3.09 | $3.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $2.14 | Professional | None | $1.82 | $1.82 | $2.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | RR · Rental | $0.18 | $0.18 | $0.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | UE · Used equipment | $1.38 | $1.38 | $1.38 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
ConnectiCare Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $8.91 | Professional | None | $5.13 | $6.92 | $8.91 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.40 Typical High $4.17 | Professional | None | $2.00 | $2.40 | $4.17 |
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 $1.17 Median $1.51 Typical High $1.51 | Professional | 52 · Reduced service | $1.17 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.62 Typical High $0.62 | Professional | 53 · Discontinued | $0.47 | $0.62 | $0.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.35 Median $0.46 Typical High $0.46 | Professional | 55 · Aftercare only | $0.35 | $0.46 | $0.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.23 | $0.31 | $0.31 |
Where Connecticut sits
The same service costs 2.6 times more in Hawaii than in Maine. 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· 49th of 51
$2.04
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.