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 $67.61 Median $93.33 Typical High $93.33 | Professional | None | $67.61 | $93.33 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $194.98 Typical High $234.42 | Facility | None | $151.36 | $194.98 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $102.33 | Professional | None | $91.20 | $93.33 | $102.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | RR · Rental | $9.12 | $9.12 | $9.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UE · Used equipment | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $102.33 | Facility | None | $97.72 | $97.72 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None | $70.79 | $70.79 | $97.72 |
ConnectiCare Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
ConnectiCare Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $190.55 | Professional | None | $100.00 | $134.90 | $190.55 |
Health New England Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $186.21 | Professional | None | $64.57 | $95.50 | $186.21 |
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 $33.88 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $33.88 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $13.49 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $10.23 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.76 | $9.33 | $9.33 |
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· 33rd of 51
$93.33
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.