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 $8.32 Median $12.59 Typical High $12.59 | Professional | None | $8.32 | $12.59 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.22 | Professional | None | $9.33 | $9.33 | $11.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | RR · Rental | $0.93 | $0.93 | $0.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | UE · Used equipment | $7.08 | $7.08 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.30 | Professional | None | $10.47 | $10.47 | $12.30 |
ConnectiCare Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
ConnectiCare Setting Professional Modifier None Typical Low $12.59 Median $13.49 Typical High $21.38 | Professional | None | $12.59 | $13.49 | $21.38 |
Health New England Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $7.41 Median $9.77 Typical High $16.98 | Professional | None | $7.41 | $9.77 | $16.98 |
2 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 55 · Aftercare only Typical Low $1.29 Median $1.86 Typical High $1.86 | Professional | 55 · Aftercare only | $1.29 | $1.86 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $1.26 Typical High $1.26 | Professional | 56 · Pre-op care only | $0.85 | $1.26 | $1.26 |
Where Connecticut sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 49th of 51
$9.77
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.