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 $223.87 Median $245.47 Typical High $245.47 | Professional | None | $223.87 | $245.47 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $512.86 Typical High $630.96 | Facility | None | $398.11 | $512.86 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $239.88 Typical High $251.19 | Professional | None | $229.09 | $239.88 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | RR · Rental | $22.91 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | UE · Used equipment | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $263.03 | Facility | None | $245.47 | $245.47 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
ConnectiCare Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $575.44 | Professional | None | $331.13 | $354.81 | $575.44 |
Health New England Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Health New England Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
United Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $316.23 | Professional | None | $194.98 | $251.19 | $316.23 |
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 $109.65 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $109.65 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $44.67 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $33.11 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $24.55 Typical High $24.55 | Professional | 56 · Pre-op care only | $21.88 | $24.55 | $24.55 |
Where Connecticut sits
The same service costs 2.5 times more in Kansas than in Florida. 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· 40th of 51
$240
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.