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 $5,623.41 Median $6,309.57 Typical High $6,309.57 | Professional | None | $5,623.41 | $6,309.57 | $6,309.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,232.93 Median $13,182.57 Typical High $15,848.93 | Facility | None | $10,232.93 | $13,182.57 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $8,128.31 | Professional | None | $7,413.10 | $7,413.10 | $8,128.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $741.31 | $741.31 | $741.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | UE · Used equipment | $5,623.41 | $5,623.41 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,549.93 | Facility | None | $9,120.11 | $9,120.11 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $9,120.11 | Professional | None | $6,606.93 | $6,606.93 | $9,120.11 |
ConnectiCare Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
ConnectiCare Setting Professional Modifier None Typical Low $8,317.64 Median $9,120.11 Typical High $14,125.38 | Professional | None | $8,317.64 | $9,120.11 | $14,125.38 |
Health New England Setting Professional Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $8,128.31 | $8,128.31 | $8,128.31 |
United Setting Professional Modifier None Typical Low $4,897.79 Median $6,456.54 Typical High $9,120.11 | Professional | None | $4,897.79 | $6,456.54 | $9,120.11 |
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 $2,818.38 Median $3,162.28 Typical High $3,162.28 | Professional | 52 · Reduced service | $2,818.38 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,122.02 Median $1,258.93 Typical High $1,258.93 | Professional | 53 · Discontinued | $1,122.02 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $831.76 Median $954.99 Typical High $954.99 | Professional | 55 · Aftercare only | $831.76 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $562.34 Median $630.96 Typical High $630.96 | Professional | 56 · Pre-op care only | $562.34 | $630.96 | $630.96 |
Where Connecticut sits
The same service costs 2.5 times more in Montana 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· 39th of 51
$7,413
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.