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 $1,905.46 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,905.46 | $2,137.96 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,466.84 Typical High $5,370.32 | Facility | None | $3,467.37 | $4,466.84 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $2,884.03 | Professional | None | $2,570.40 | $2,691.53 | $2,884.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,630.27 | Facility | None | $2,511.89 | $2,511.89 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
ConnectiCare Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
ConnectiCare Setting Professional Modifier None Typical Low $2,818.38 Median $3,090.30 Typical High $4,897.79 | Professional | None | $2,818.38 | $3,090.30 | $4,897.79 |
Health New England Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,659.59 | $2,187.76 | $3,019.95 |
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 $954.99 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $954.99 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $389.05 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $288.40 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $194.98 | $213.80 | $213.80 |
Where Connecticut sits
The same service costs 2.6 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· 30th of 51
$2,692
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.