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 $66.07 Median $66.07 Typical High $85.11 | Professional | None | $66.07 | $66.07 | $85.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $177.83 | Facility | None | $112.20 | $147.91 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $120.23 Typical High $141.25 | Professional | None | $58.88 | $120.23 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.12 Median $12.02 Typical High $14.13 | Professional | RR · Rental | $9.12 | $12.02 | $14.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $89.13 Typical High $104.71 | Professional | UE · Used equipment | $67.61 | $89.13 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
ConnectiCare Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | None | $120.23 | $120.23 | $158.49 |
United Setting Professional Modifier None Typical Low $32.36 Median $64.57 Typical High $81.28 | Professional | None | $32.36 | $64.57 | $81.28 |
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 $32.36 Median $32.36 Typical High $42.66 | Professional | 52 · Reduced service | $32.36 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.98 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $12.88 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $8.51 |
Where Connecticut sits
The same service costs 4.2 times more in Hawaii than in New York. 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· 18th of 51
$91.20
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.