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 $331.13 Median $380.19 Typical High $380.19 | Professional | None | $331.13 | $380.19 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $954.99 | Facility | None | $616.60 | $794.33 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $501.19 | Professional | None | $457.09 | $478.63 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $691.83 | Facility | None | $660.69 | $660.69 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Professional | None | $489.78 | $489.78 | $660.69 |
ConnectiCare Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
ConnectiCare Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $851.14 | Professional | None | $501.19 | $549.54 | $851.14 |
Health New England Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
United Setting Professional Modifier None Typical Low $295.12 Median $389.05 Typical High $575.44 | Professional | None | $295.12 | $389.05 | $575.44 |
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 $169.82 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $169.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $67.61 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $51.29 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $33.88 | $38.02 | $38.02 |
Where Connecticut sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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· 48th of 51
$457
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.