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 $398.11 Median $436.52 Typical High $436.52 | Professional | None | $398.11 | $436.52 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $912.01 Typical High $1,096.48 | Facility | None | $707.95 | $912.01 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $616.60 | Professional | None | $501.19 | $602.56 | $616.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $741.31 | Facility | None | $707.95 | $707.95 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
ConnectiCare Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
ConnectiCare Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $1,023.29 | Professional | None | $575.44 | $630.96 | $1,023.29 |
Health New England Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $588.84 | Professional | None | $338.84 | $446.68 | $588.84 |
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 $199.53 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $79.43 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $58.88 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $39.81 | $43.65 | $43.65 |
Where Connecticut sits
The same service costs 2.0 times more in Iowa than in Florida. 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· 24th of 51
$603
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.