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 $363.08 Median $512.86 Typical High $512.86 | Professional | None | $363.08 | $512.86 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,288.25 | Facility | None | $831.76 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $537.03 | Professional | None | $478.63 | $478.63 | $537.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | RR · Rental | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | UE · Used equipment | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $524.81 | Facility | None | $489.78 | $489.78 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $489.78 | Professional | None | $363.08 | $363.08 | $489.78 |
ConnectiCare Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
ConnectiCare Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $1,047.13 | Professional | None | $524.81 | $724.44 | $1,047.13 |
Health New England Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $1,023.29 | Professional | None | $354.81 | $512.86 | $1,023.29 |
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 $181.97 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $181.97 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $74.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $54.95 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $36.31 | $51.29 | $51.29 |
Where Connecticut sits
The same service costs 3.2 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· 31st of 51
$479
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.