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 $17.38 Median $20.89 Typical High $20.89 | Professional | None | $17.38 | $20.89 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.40 | $2.40 | $2.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | UE · Used equipment | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
ConnectiCare Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | None | $30.20 | $30.20 | $34.67 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $33.88 | Professional | None | $14.79 | $20.42 | $33.88 |
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 $8.71 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $8.71 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.47 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $3.09 Typical High $3.09 | Professional | 55 · Aftercare only | $2.63 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $2.09 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.74 | $2.09 | $2.09 |
Where Connecticut sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 25th of 51
$23.99
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.