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 $245.47 Median $346.74 Typical High $346.74 | Professional | None | $245.47 | $346.74 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $870.96 | Facility | None | $562.34 | $724.44 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | None | $323.59 | $323.59 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $354.81 | Facility | None | $338.84 | $338.84 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
ConnectiCare Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
ConnectiCare Setting Professional Modifier None Typical Low $363.08 Median $501.19 Typical High $707.95 | Professional | None | $363.08 | $501.19 | $707.95 |
Health New England Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $691.83 | Professional | None | $245.47 | $346.74 | $691.83 |
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 $123.03 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $123.03 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $48.98 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $37.15 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $24.55 | $34.67 | $34.67 |
Where Connecticut sits
The same service costs 4.2 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· 34th of 51
$324
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.