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 $123.03 Median $123.03 Typical High $173.78 | Professional | None | $123.03 | $123.03 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $275.42 Typical High $331.13 | Facility | None | $208.93 | $275.42 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $295.12 | Professional | None | $158.49 | $251.19 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $19.05 Median $25.12 Typical High $29.51 | Professional | RR · Rental | $19.05 | $25.12 | $29.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $186.21 Typical High $218.78 | Professional | UE · Used equipment | $141.25 | $186.21 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
ConnectiCare Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $446.68 | Professional | None | $338.84 | $338.84 | $446.68 |
United Setting Professional Modifier None Typical Low $112.20 Median $134.90 Typical High $154.88 | Professional | None | $112.20 | $134.90 | $154.88 |
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 $61.66 Median $61.66 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $24.55 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $26.30 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $17.38 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $17.38 |
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 2.5 times more in Alaska than in Utah. 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· 21st of 51
$191
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.