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 $102.33 Median $102.33 Typical High $169.82 | Professional | None | $102.33 | $102.33 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $229.09 Typical High $275.42 | Facility | None | $177.83 | $229.09 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $281.84 | Professional | None | $158.49 | $239.88 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.20 Median $23.99 Typical High $28.18 | Professional | RR · Rental | $18.20 | $23.99 | $28.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $181.97 Typical High $213.80 | Professional | UE · Used equipment | $138.04 | $181.97 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
ConnectiCare Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | None | $323.59 | $323.59 | $426.58 |
United Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $131.83 | Professional | None | $93.33 | $112.20 | $131.83 |
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 $51.29 Median $51.29 Typical High $85.11 | Professional | 52 · Reduced service | $51.29 | $51.29 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $33.88 | Professional | 53 · Discontinued | $20.42 | $20.42 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $25.12 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $16.98 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $16.98 |
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 2.8 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· 21st of 51
$182
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.