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 $23.44 Median $23.44 Typical High $39.81 | Professional | None | $23.44 | $23.44 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $63.10 | Facility | None | $40.74 | $52.48 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $57.54 Typical High $67.61 | Professional | None | $33.11 | $57.54 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.75 Typical High $6.76 | Professional | RR · Rental | $4.37 | $5.75 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $42.66 Typical High $51.29 | Professional | UE · Used equipment | $33.11 | $42.66 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
ConnectiCare Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | None | $77.62 | $77.62 | $102.33 |
United Setting Professional Modifier None Typical Low $10.96 Median $25.70 Typical High $30.20 | Professional | None | $10.96 | $25.70 | $30.20 |
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 $11.75 Median $11.75 Typical High $19.95 | Professional | 52 · Reduced service | $11.75 | $11.75 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $7.94 | Professional | 53 · Discontinued | $4.79 | $4.79 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $3.55 Typical High $5.89 | Professional | 55 · Aftercare only | $3.55 | $3.55 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $3.98 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $3.98 |
Where Connecticut sits
The same service costs 3.0 times more in Hawaii than in Missouri. 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· 23rd of 51
$41.69
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.