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 $141.25 Median $173.78 Typical High $173.78 | Professional | None | $141.25 | $173.78 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $281.84 Median $363.08 Typical High $436.52 | Facility | None | $281.84 | $363.08 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | RR · Rental | $18.62 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | UE · Used equipment | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $199.53 | Facility | None | $190.55 | $190.55 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
ConnectiCare Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
ConnectiCare Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $354.81 | Professional | None | $199.53 | $251.19 | $354.81 |
Health New England Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $346.74 | Professional | None | $128.82 | $177.83 | $346.74 |
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 $70.79 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $21.38 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $14.13 | $17.38 | $17.38 |
Where Connecticut sits
The same service costs 2.7 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
$186
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.