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 $47.86 Median $61.66 Typical High $61.66 | Professional | None | $47.86 | $61.66 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $154.88 | Facility | None | $100.00 | $128.82 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $63.10 | Professional | None | $57.54 | $58.88 | $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 $58.88 Median $58.88 Typical High $61.66 | Facility | None | $58.88 | $58.88 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $58.88 | Professional | None | $42.66 | $42.66 | $58.88 |
ConnectiCare Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
ConnectiCare Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $125.89 | Professional | None | $74.13 | $87.10 | $125.89 |
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 $42.66 Median $61.66 Typical High $120.23 | Professional | None | $42.66 | $61.66 | $120.23 |
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 $23.99 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $23.99 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $9.55 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $9.12 Typical High $9.12 | Professional | 55 · Aftercare only | $7.24 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.17 Typical High $6.17 | Professional | 56 · Pre-op care only | $4.79 | $6.17 | $6.17 |
Where Connecticut sits
The same service costs 2.5 times more in Arkansas 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
$58.88
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.