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 $691.83 Median $891.25 Typical High $891.25 | Professional | None | $691.83 | $891.25 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,238.72 | Facility | None | $1,445.44 | $1,862.09 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | None | $831.76 | $831.76 | $870.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $933.25 | Facility | None | $891.25 | $891.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
ConnectiCare Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
ConnectiCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,288.25 | $1,819.70 |
Health New England Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $616.60 Median $891.25 Typical High $1,778.28 | Professional | None | $616.60 | $891.25 | $1,778.28 |
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 $346.74 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $102.33 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $89.13 | $89.13 |
Where Connecticut sits
The same service costs 3.0 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· 35th of 51
$851
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.