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 $3,162.28 Median $3,467.37 Typical High $3,715.35 | Professional | None | $3,162.28 | $3,467.37 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $7,244.36 Typical High $8,709.64 | Facility | None | $5,623.41 | $7,244.36 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,570.88 | Professional | None | $4,265.80 | $4,265.80 | $4,570.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $426.58 | $426.58 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | UE · Used equipment | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,897.79 | Facility | None | $4,677.35 | $4,677.35 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
ConnectiCare Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
ConnectiCare Setting Professional Modifier None Typical Low $4,570.88 Median $5,011.87 Typical High $7,943.28 | Professional | None | $4,570.88 | $5,011.87 | $7,943.28 |
Health New England Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | None | $4,897.79 | $4,897.79 | $4,897.79 |
United Setting Professional Modifier None Typical Low $2,691.53 Median $3,548.13 Typical High $5,248.07 | Professional | None | $2,691.53 | $3,548.13 | $5,248.07 |
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 $1,584.89 Median $1,737.80 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,584.89 | $1,737.80 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $691.83 Typical High $741.31 | Professional | 53 · Discontinued | $630.96 | $691.83 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $478.63 Median $512.86 Typical High $562.34 | Professional | 55 · Aftercare only | $478.63 | $512.86 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $346.74 Typical High $371.54 | Professional | 56 · Pre-op care only | $316.23 | $346.74 | $371.54 |
Where Connecticut sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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· 38th of 51
$4,266
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.