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 $131.83 Median $131.83 Typical High $138.04 | Professional | None | $131.83 | $131.83 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $338.84 | Facility | None | $218.78 | $281.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | None | $162.18 | $162.18 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | RR · Rental | $16.22 | $16.22 | $16.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | UE · Used equipment | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Facility | None | $169.82 | $169.82 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
ConnectiCare Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
ConnectiCare Setting Professional Modifier None Typical Low $177.83 Median $204.17 Typical High $354.81 | Professional | None | $177.83 | $204.17 | $354.81 |
Health New England Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $263.03 | Professional | None | $104.71 | $138.04 | $263.03 |
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 $66.07 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $26.30 | $26.30 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $20.89 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $13.80 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $13.80 |
Where Connecticut sits
The same service costs 4.7 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· 39th of 51
$162
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.