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 $302.00 Median $354.81 Typical High $354.81 | Professional | None | $302.00 | $354.81 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $891.25 | Facility | None | $575.44 | $741.31 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | None | $380.19 | $380.19 | $416.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Facility | None | $407.38 | $407.38 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None | $295.12 | $295.12 | $407.38 |
ConnectiCare Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
ConnectiCare Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $776.25 | Professional | None | $457.09 | $512.86 | $776.25 |
Health New England Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $707.95 | Professional | None | $275.42 | $363.08 | $707.95 |
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 $158.49 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $158.49 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $63.10 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $47.86 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $35.48 Typical High $35.48 | Professional | 56 · Pre-op care only | $31.62 | $35.48 | $35.48 |
Where Connecticut sits
The same service costs 4.3 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· 38th of 51
$380
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.