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 $58.88 Median $75.86 Typical High $75.86 | Professional | None | $58.88 | $75.86 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $158.49 Typical High $190.55 | Facility | None | $123.03 | $158.49 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | None | $79.43 | $79.43 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | RR · Rental | $7.94 | $7.94 | $7.94 |
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 $102.33 Median $102.33 Typical High $109.65 | Facility | None | $102.33 | $102.33 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | None | $75.86 | $75.86 | $102.33 |
ConnectiCare Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
ConnectiCare Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $154.88 | Professional | None | $87.10 | $109.65 | $154.88 |
Health New England Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $151.36 | Professional | None | $56.23 | $77.62 | $151.36 |
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 $29.51 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $29.51 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $11.75 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $11.22 Typical High $11.22 | Professional | 55 · Aftercare only | $8.91 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.89 | $7.59 | $7.59 |
Where Connecticut sits
The same service costs 3.2 times more in Hawaii 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· 36th of 51
$79.43
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.