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 $912.01 Median $1,202.26 Typical High $1,202.26 | Professional | None | $912.01 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,570.40 Typical High $3,090.30 | Facility | None | $1,995.26 | $2,570.40 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,318.26 | Professional | None | $1,288.25 | $1,288.25 | $1,318.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,348.96 | Facility | None | $1,288.25 | $1,288.25 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,288.25 | Professional | None | $954.99 | $954.99 | $1,288.25 |
ConnectiCare Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
ConnectiCare Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $2,511.89 | Professional | None | $1,380.38 | $1,737.80 | $2,511.89 |
Health New England Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,584.89 | Professional | None | $954.99 | $1,258.93 | $1,584.89 |
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 $489.78 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $489.78 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $194.98 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $147.91 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $97.72 | $120.23 | $120.23 |
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· 31st of 51
$1,288
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.