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 $58.88 Median $58.88 Typical High $83.18 | Professional | None | $58.88 | $58.88 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $131.83 Typical High $158.49 | Facility | None | $102.33 | $131.83 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $141.25 Typical High $169.82 | Professional | None | $58.88 | $141.25 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.96 Median $14.13 Typical High $16.98 | Professional | RR · Rental | $10.96 | $14.13 | $16.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $107.15 Typical High $125.89 | Professional | UE · Used equipment | $81.28 | $107.15 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
ConnectiCare Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $204.17 | Professional | None | $154.88 | $154.88 | $204.17 |
United Setting Professional Modifier None Typical Low $15.14 Median $64.57 Typical High $74.13 | Professional | None | $15.14 | $64.57 | $74.13 |
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 $29.51 Median $29.51 Typical High $41.69 | Professional | 52 · Reduced service | $29.51 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $16.60 | Professional | 53 · Discontinued | $11.75 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $12.59 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $8.32 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $8.32 |
Where Connecticut sits
The same service costs 2.9 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· 23rd of 51
$105
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.