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 $28.84 Median $28.84 Typical High $50.12 | Professional | None | $28.84 | $28.84 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $77.62 | Facility | None | $50.12 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $81.28 | Professional | None | $52.48 | $69.18 | $81.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.25 Median $6.92 Typical High $8.13 | Professional | RR · Rental | $5.25 | $6.92 | $8.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $52.48 Typical High $61.66 | Professional | UE · Used equipment | $39.81 | $52.48 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
ConnectiCare Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $123.03 | Professional | None | $93.33 | $93.33 | $123.03 |
United Setting Professional Modifier None Typical Low $15.14 Median $31.62 Typical High $39.81 | Professional | None | $15.14 | $31.62 | $39.81 |
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 $14.45 Median $14.45 Typical High $25.12 | Professional | 52 · Reduced service | $14.45 | $14.45 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $10.00 | Professional | 53 · Discontinued | $5.75 | $5.75 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $7.59 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $5.01 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $5.01 |
Where Connecticut sits
The same service costs 4.2 times more in Minnesota than in Alaska. 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· 19th of 51
$52.48
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.