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 $19.50 Typical High $19.50 | Professional | None | $17.38 | $19.50 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $40.74 Typical High $48.98 | Facility | None | $31.62 | $40.74 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $25.12 | Professional | None | $13.18 | $13.18 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | UE · Used equipment | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $23.99 | Facility | None | $22.91 | $22.91 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | None | $16.98 | $16.98 | $22.91 |
ConnectiCare Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
ConnectiCare Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $45.71 | Professional | None | $26.30 | $28.18 | $45.71 |
Health New England Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $38.90 | Professional | None | $15.49 | $19.95 | $38.90 |
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 $8.91 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $8.91 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.55 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $2.95 Typical High $2.95 | Professional | 55 · Aftercare only | $2.63 | $2.95 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.95 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.78 | $1.95 | $1.95 |
Where Connecticut sits
The same service costs 2.6 times more in Montana 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· 49th of 51
$18.20
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.