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 $213.80 Median $309.03 Typical High $309.03 | Professional | None | $213.80 | $309.03 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $776.25 | Facility | None | $501.19 | $645.65 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $295.12 Typical High $323.59 | Professional | None | $288.40 | $295.12 | $323.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $309.03 | Facility | None | $295.12 | $295.12 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
ConnectiCare Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
ConnectiCare Setting Professional Modifier None Typical Low $323.59 Median $446.68 Typical High $602.56 | Professional | None | $323.59 | $446.68 | $602.56 |
Health New England Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $213.80 Median $309.03 Typical High $616.60 | Professional | None | $213.80 | $309.03 | $616.60 |
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 $107.15 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $107.15 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $42.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $32.36 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $21.38 | $30.90 | $30.90 |
Where Connecticut sits
The same service costs 4.2 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· 26th of 51
$295
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.