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 $660.69 Median $707.95 Typical High $794.33 | Professional | None | $660.69 | $707.95 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,148.15 Median $1,479.11 Typical High $1,778.28 | Facility | None | $1,148.15 | $1,479.11 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $831.76 Typical High $891.25 | Professional | None | $794.33 | $831.76 | $891.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $891.25 | Facility | None | $831.76 | $831.76 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
ConnectiCare Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
ConnectiCare Setting Professional Modifier None Typical Low $954.99 Median $1,023.29 Typical High $1,698.24 | Professional | None | $954.99 | $1,023.29 | $1,698.24 |
Health New England Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Health New England Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $1,412.54 | Professional | None | $537.03 | $724.44 | $1,412.54 |
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 $331.13 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $331.13 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $131.83 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $66.07 | $70.79 | $70.79 |
Where Connecticut sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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· 32nd of 51
$832
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.