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 $380.19 Median $562.34 Typical High $562.34 | Professional | None | $380.19 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,202.26 Typical High $1,445.44 | Facility | None | $933.25 | $1,202.26 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $562.34 | Professional | None | $537.03 | $537.03 | $562.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $53.70 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | UE · Used equipment | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $645.65 | Facility | None | $616.60 | $616.60 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
ConnectiCare Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $575.44 Median $794.33 Typical High $1,096.48 | Professional | None | $575.44 | $794.33 | $1,096.48 |
Health New England Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $676.08 | Professional | None | $446.68 | $588.84 | $676.08 |
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 $194.98 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $194.98 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $77.62 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $58.88 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $38.90 | $56.23 | $56.23 |
Where Connecticut sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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
$550
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.