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 $57.54 Median $63.10 Typical High $63.10 | Professional | None | $57.54 | $63.10 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $158.49 | Facility | None | $102.33 | $131.83 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | None | $77.62 | $77.62 | $81.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | RR · Rental | $7.76 | $7.76 | $7.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $85.11 | Facility | None | $81.28 | $81.28 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | None | $58.88 | $58.88 | $81.28 |
ConnectiCare Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
ConnectiCare Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $147.91 | Professional | None | $83.18 | $89.13 | $147.91 |
Health New England Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $123.03 | Professional | None | $48.98 | $64.57 | $123.03 |
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 $28.84 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.48 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $9.33 Typical High $9.33 | Professional | 55 · Aftercare only | $8.71 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.75 | $6.31 | $6.31 |
Where Connecticut sits
The same service costs 5.1 times more in Kansas than in Florida. 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· 33rd of 51
$77.62
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.