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 $25.12 Median $28.18 Typical High $28.18 | Professional | None | $25.12 | $28.18 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $70.79 | Facility | None | $45.71 | $58.88 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | None | $31.62 | $31.62 | $36.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | RR · Rental | $3.16 | $3.16 | $3.16 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | UE · Used equipment | $23.99 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $34.67 | Facility | None | $33.11 | $33.11 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | None | $24.55 | $24.55 | $33.11 |
ConnectiCare Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
ConnectiCare Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $66.07 | Professional | None | $38.02 | $40.74 | $66.07 |
Health New England Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $56.23 | Professional | None | $22.39 | $28.84 | $56.23 |
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 $12.88 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $12.88 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $5.13 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.80 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $3.80 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.51 | $2.82 | $2.82 |
Where Connecticut sits
The same service costs 2.8 times more in Kansas 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· 37th of 51
$31.62
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.