How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $97.72 Median $138.04 Typical High $138.04 | Professional | None | $97.72 | $138.04 | $138.04 |
Aetna Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | RR · Rental | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $74.13 | $102.33 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $213.80 | Facility | None | $138.04 | $177.83 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | None | $104.71 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.47 Median $13.49 Typical High $13.49 | Professional | RR · Rental | $10.47 | $13.49 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $112.20 | Professional | None | $95.50 | $95.50 | $112.20 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | RR · Rental | $9.55 | $9.55 | $11.22 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | UE · Used equipment | $70.79 | $70.79 | $83.18 |
ConnectiCare Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $165.96 | Professional | None | $107.15 | $107.15 | $165.96 |
Health New England Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $151.36 | Professional | None | $67.61 | $85.11 | $151.36 |
United Setting Professional Modifier RR · Rental Typical Low $6.76 Median $8.51 Typical High $15.14 | Professional | RR · Rental | $6.76 | $8.51 | $15.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $64.57 Typical High $114.82 | Professional | UE · Used equipment | $50.12 | $64.57 | $114.82 |
1 more rate 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 MS · Maintenance fee Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | MS · Maintenance fee | $13.80 | $13.80 | $13.80 |
Where Connecticut sits
The same service costs 1.9 times more in Wisconsin than in Utah. 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· 18th of 51
$135
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.