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 $776.25 Median $1,071.52 Typical High $1,071.52 | Professional | None | $776.25 | $1,071.52 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $2,691.53 | Facility | None | $1,737.80 | $2,238.72 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Professional | None | $1,071.52 | $1,071.52 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | UE · Used equipment | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,445.44 | Facility | None | $1,380.38 | $1,380.38 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,380.38 | Professional | None | $1,000.00 | $1,000.00 | $1,380.38 |
ConnectiCare Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
ConnectiCare Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,548.82 | $2,187.76 |
Health New England Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,348.96 | Professional | None | $831.76 | $1,096.48 | $1,348.96 |
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 $389.05 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $389.05 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $154.88 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $117.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $77.62 | $107.15 | $107.15 |
Where Connecticut sits
The same service costs 2.5 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· 35th of 51
$1,072
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.