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 $42.66 Median $56.23 Typical High $56.23 | Professional | None | $42.66 | $56.23 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $117.49 Typical High $141.25 | Facility | None | $91.20 | $117.49 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | None | $57.54 | $57.54 | $63.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $85.11 | Facility | None | $81.28 | $81.28 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | None | $58.88 | $58.88 | $81.28 |
ConnectiCare Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
ConnectiCare Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $114.82 | Professional | None | $63.10 | $81.28 | $114.82 |
Health New England Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $112.20 | Professional | None | $40.74 | $57.54 | $112.20 |
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 $21.88 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $8.71 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $8.51 Typical High $8.51 | Professional | 55 · Aftercare only | $6.61 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $5.62 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.37 | $5.62 | $5.62 |
Where Connecticut sits
The same service costs 4.4 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· 46th of 51
$57.54
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.