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 $125.89 Median $125.89 Typical High $162.18 | Professional | None | $125.89 | $125.89 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $338.84 | Facility | None | $218.78 | $281.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $234.42 Typical High $275.42 | Professional | None | $158.49 | $234.42 | $275.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $17.78 Median $23.44 Typical High $27.54 | Professional | RR · Rental | $17.78 | $23.44 | $27.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $177.83 Typical High $208.93 | Professional | UE · Used equipment | $134.90 | $177.83 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
ConnectiCare Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $416.87 | Professional | None | $316.23 | $316.23 | $416.87 |
United Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $162.18 | Professional | None | $104.71 | $134.90 | $162.18 |
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 $63.10 Median $63.10 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $16.22 |
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 3.3 times more in Alaska 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· 19th of 51
$178
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.