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 $1,659.59 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,659.59 | $1,698.24 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $4,265.80 | Facility | None | $2,754.23 | $3,548.13 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,905.46 | $1,905.46 | $2,041.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | RR · Rental | $190.55 | $190.55 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,454.71 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
ConnectiCare Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
ConnectiCare Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $4,265.80 | Professional | None | $2,290.87 | $2,570.40 | $4,265.80 |
Health New England Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,318.26 | $1,737.80 | $2,344.23 |
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 $831.76 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $831.76 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $331.13 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $165.96 | $169.82 | $169.82 |
Where Connecticut sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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
$1,905
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.