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 $2,754.23 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,754.23 | $3,467.37 | $3,467.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $7,244.36 Typical High $8,912.51 | Facility | None | $5,623.41 | $7,244.36 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,073.80 | Professional | None | $3,801.89 | $3,801.89 | $4,073.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | RR · Rental | $380.19 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,128.61 | Facility | None | $4,897.79 | $4,897.79 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
ConnectiCare Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
ConnectiCare Setting Professional Modifier None Typical Low $4,073.80 Median $5,011.87 Typical High $7,244.36 | Professional | None | $4,073.80 | $5,011.87 | $7,244.36 |
Health New England Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
United Setting Professional Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $4,677.35 | Professional | None | $2,754.23 | $3,548.13 | $4,677.35 |
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 $1,380.38 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,380.38 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $691.83 Typical High $691.83 | Professional | 53 · Discontinued | $549.54 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $416.87 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $416.87 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | 56 · Pre-op care only | $275.42 | $346.74 | $346.74 |
Where Connecticut sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 36th of 51
$3,802
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.