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 $11.75 Median $12.02 Typical High $12.59 | Professional | None | $11.75 | $12.02 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $30.90 | Facility | None | $19.50 | $25.70 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $18.62 | Professional | None | $14.79 | $17.78 | $18.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | RR · Rental | $1.82 | $1.82 | $1.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | UE · Used equipment | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.98 | Facility | None | $16.22 | $16.22 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.22 | Professional | None | $12.02 | $12.02 | $16.22 |
ConnectiCare Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
ConnectiCare Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $30.20 | Professional | None | $16.22 | $17.78 | $30.20 |
Health New England Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $17.38 | Professional | None | $9.55 | $12.59 | $17.38 |
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 $5.89 Median $6.03 Typical High $6.17 | Professional | 52 · Reduced service | $5.89 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.45 Typical High $2.51 | Professional | 53 · Discontinued | $2.34 | $2.45 | $2.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.78 Median $1.82 Typical High $1.86 | Professional | 55 · Aftercare only | $1.78 | $1.82 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $1.20 Typical High $1.23 | Professional | 56 · Pre-op care only | $1.17 | $1.20 | $1.23 |
Where Connecticut sits
The same service costs 3.0 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· 33rd of 51
$16.22
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.