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 $9.77 Median $12.30 Typical High $12.30 | Professional | None | $9.77 | $12.30 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $12.02 | Professional | None | $10.00 | $10.00 | $12.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | RR · Rental | $1.00 | $1.00 | $1.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | UE · Used equipment | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.49 | Professional | None | $11.48 | $11.48 | $13.49 |
ConnectiCare Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
ConnectiCare Setting Professional Modifier None Typical Low $12.30 Median $14.13 Typical High $25.12 | Professional | None | $12.30 | $14.13 | $25.12 |
Health New England Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $16.60 | Professional | None | $7.24 | $9.55 | $16.60 |
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 $1.45 Median $1.82 Typical High $1.82 | Professional | 55 · Aftercare only | $1.45 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.98 Median $1.23 Typical High $1.23 | Professional | 56 · Pre-op care only | $0.98 | $1.23 | $1.23 |
Where Connecticut sits
The same service costs 2.8 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
$10.00
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.