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 $229.09 Median $234.42 Typical High $281.84 | Professional | None | $229.09 | $234.42 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $588.84 | Facility | None | $380.19 | $489.78 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $275.42 | Professional | None | $245.47 | $251.19 | $275.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | RR · Rental | $24.55 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | UE · Used equipment | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $562.34 | Facility | None | $263.03 | $263.03 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None | $194.98 | $194.98 | $263.03 |
ConnectiCare Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
ConnectiCare Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $616.60 | Professional | None | $309.03 | $363.08 | $616.60 |
Health New England Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $181.97 Median $239.88 Typical High $457.09 | Professional | None | $181.97 | $239.88 | $457.09 |
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 $109.65 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $109.65 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $43.65 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $34.67 Typical High $35.48 | Professional | 55 · Aftercare only | $33.11 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $23.44 Typical High $23.99 | Professional | 56 · Pre-op care only | $21.88 | $23.44 | $23.99 |
Where Connecticut sits
The same service costs 4.7 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· 37th of 51
$245
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.