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 $169.82 Median $218.78 Typical High $245.47 | Professional | None | $169.82 | $218.78 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $467.74 Typical High $562.34 | Facility | None | $363.08 | $467.74 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $213.80 Typical High $223.87 | Professional | None | $204.17 | $213.80 | $223.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | UE · Used equipment | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $398.11 | Facility | None | $229.09 | $229.09 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $229.09 | Professional | None | $165.96 | $165.96 | $229.09 |
ConnectiCare Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
ConnectiCare Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $457.09 | Professional | None | $257.04 | $316.23 | $457.09 |
Health New England Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Professional | None | $218.78 | $218.78 | $245.47 |
United Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $436.52 | Professional | None | $154.88 | $223.87 | $436.52 |
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 $85.11 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $85.11 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $33.88 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $25.70 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $16.98 | $21.88 | $21.88 |
Where Connecticut sits
The same service costs 3.5 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· 35th of 51
$214
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.