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 $309.03 Median $309.03 Typical High $346.74 | Professional | None | $309.03 | $309.03 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $776.25 | Facility | None | $501.19 | $645.65 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | None | $371.54 | $371.54 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | UE · Used equipment | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $446.68 | Facility | None | $426.58 | $426.58 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None | $309.03 | $309.03 | $426.58 |
ConnectiCare Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
ConnectiCare Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $912.01 | Professional | None | $407.38 | $478.63 | $912.01 |
United Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $457.09 | Professional | None | $239.88 | $316.23 | $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 $154.88 Median $154.88 Typical High $173.78 | Professional | 52 · Reduced service | $154.88 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $70.79 | Professional | 53 · Discontinued | $61.66 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $34.67 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $34.67 |
Where Connecticut sits
The same service costs 2.7 times more in Hawaii than in Kansas. 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
$372
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.