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 $95.50 Median $141.25 Typical High $141.25 | Professional | None | $95.50 | $141.25 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $295.12 Typical High $354.81 | Facility | None | $229.09 | $295.12 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $141.25 | Professional | None | $131.83 | $134.90 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | RR · Rental | $13.18 | $13.18 | $13.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $147.91 | Facility | None | $141.25 | $141.25 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
ConnectiCare Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
ConnectiCare Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $288.40 | Professional | None | $144.54 | $199.53 | $288.40 |
Health New England Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $169.82 | Professional | None | $109.65 | $144.54 | $169.82 |
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 $48.98 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $48.98 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $21.38 Typical High $21.38 | Professional | 55 · Aftercare only | $14.45 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $14.13 Typical High $14.13 | Professional | 56 · Pre-op care only | $9.77 | $14.13 | $14.13 |
Where Connecticut sits
The same service costs 3.7 times more in Hawaii 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· 35th of 51
$135
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.