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 $1,995.26 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,995.26 | $2,344.23 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $4,897.79 Typical High $5,888.44 | Facility | None | $3,801.89 | $4,897.79 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,884.03 | Professional | None | $2,754.23 | $2,754.23 | $2,884.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | RR · Rental | $275.42 | $275.42 | $275.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,019.95 | Facility | None | $2,884.03 | $2,884.03 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
ConnectiCare Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
ConnectiCare Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $5,128.61 | Professional | None | $3,019.95 | $3,388.44 | $5,128.61 |
Health New England Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,467.37 | Professional | None | $1,819.70 | $2,398.83 | $3,467.37 |
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 $1,023.29 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,023.29 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $407.38 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $309.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $204.17 | $234.42 | $234.42 |
Where Connecticut sits
The same service costs 3.4 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
$2,754
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.