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 $46.77 Median $46.77 Typical High $75.86 | Professional | None | $46.77 | $46.77 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $125.89 | Facility | None | $81.28 | $104.71 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $107.15 Typical High $125.89 | Professional | None | $81.28 | $107.15 | $125.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.13 Median $10.72 Typical High $12.59 | Professional | RR · Rental | $8.13 | $10.72 | $12.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $81.28 Typical High $95.50 | Professional | UE · Used equipment | $61.66 | $81.28 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
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 $42.66 Median $51.29 Typical High $58.88 | Professional | None | $42.66 | $51.29 | $58.88 |
7 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 $23.44 Median $23.44 Typical High $38.02 | Professional | 52 · Reduced service | $23.44 | $23.44 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $15.49 | Professional | 53 · Discontinued | $9.33 | $9.33 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $11.48 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $7.59 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $7.59 |
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Connecticut sits
The same service costs 2.6 times more in Hawaii than in Indiana. 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
$81.28
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.