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 $67.61 Median $67.61 Typical High $100.00 | Professional | None | $67.61 | $67.61 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $181.97 | Facility | None | $117.49 | $151.36 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $162.18 | Professional | None | $104.71 | $138.04 | $162.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.47 Median $13.80 Typical High $16.22 | Professional | RR · Rental | $10.47 | $13.80 | $16.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $104.71 Typical High $123.03 | Professional | UE · Used equipment | $79.43 | $104.71 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
ConnectiCare Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $245.47 | Professional | None | $186.21 | $186.21 | $245.47 |
United Setting Professional Modifier None Typical Low $61.66 Median $74.13 Typical High $85.11 | Professional | None | $61.66 | $74.13 | $85.11 |
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 $33.88 Median $33.88 Typical High $50.12 | Professional | 52 · Reduced service | $33.88 | $33.88 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $19.95 | Professional | 53 · Discontinued | $13.49 | $13.49 | $19.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $14.79 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $10.00 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $10.00 |
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 Minnesota 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· 22nd 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.