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 $1,778.28 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,778.28 | $2,041.74 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $4,265.80 Typical High $5,128.61 | Facility | None | $3,311.31 | $4,265.80 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,290.87 Typical High $2,398.83 | Professional | None | $2,187.76 | $2,290.87 | $2,398.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | RR · Rental | $218.78 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | UE · Used equipment | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,398.83 | Facility | None | $2,290.87 | $2,290.87 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
ConnectiCare Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
ConnectiCare Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,691.53 | $2,884.03 | $4,570.88 |
Health New England Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,584.89 | $2,089.30 | $2,754.23 |
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 $891.25 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $891.25 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $354.81 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $263.03 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $177.83 | $204.17 | $204.17 |
Where Connecticut sits
The same service costs 2.5 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· 41st of 51
$2,188
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.