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 $45.71 Median $45.71 Typical High $70.79 | Professional | None | $45.71 | $45.71 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $102.33 Typical High $123.03 | Facility | None | $79.43 | $102.33 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $112.20 Typical High $131.83 | Professional | None | $54.95 | $112.20 | $131.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $11.22 Typical High $13.18 | Professional | RR · Rental | $8.51 | $11.22 | $13.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $83.18 Typical High $97.72 | Professional | UE · Used equipment | $63.10 | $83.18 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
ConnectiCare Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | None | $144.54 | $144.54 | $190.55 |
United Setting Professional Modifier None Typical Low $12.88 Median $50.12 Typical High $57.54 | Professional | None | $12.88 | $50.12 | $57.54 |
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 $22.91 Median $22.91 Typical High $35.48 | Professional | 52 · Reduced service | $22.91 | $22.91 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $14.13 | Professional | 53 · Discontinued | $9.12 | $9.12 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $10.72 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $7.08 |
Where Connecticut sits
The same service costs 2.6 times more in Hawaii than in Ohio. 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· 22nd of 51
$79.43
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.