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 $10.47 Median $13.80 Typical High $13.80 | Professional | None | $10.47 | $13.80 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | None | $10.72 | $10.72 | $12.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | RR · Rental | $1.07 | $1.07 | $1.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | UE · Used equipment | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
ConnectiCare Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
ConnectiCare Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $23.99 | Professional | None | $13.80 | $15.14 | $23.99 |
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 $8.13 Median $10.72 Typical High $18.62 | Professional | None | $8.13 | $10.72 | $18.62 |
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 $1.58 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $1.58 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.05 Median $1.38 Typical High $1.38 | Professional | 56 · Pre-op care only | $1.05 | $1.38 | $1.38 |
Where Connecticut sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 51st of 51
$10.72
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.