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 $12.59 Median $14.13 Typical High $14.13 | Professional | None | $12.59 | $14.13 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $11.75 | Professional | None | $10.96 | $10.96 | $11.75 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | RR · Rental | $1.10 | $1.10 | $1.10 |
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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.49 | Professional | None | $13.18 | $13.18 | $15.49 |
ConnectiCare Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $14.13 | Facility | None | $9.77 | $9.77 | $14.13 |
ConnectiCare Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $23.44 | Professional | None | $14.13 | $15.14 | $23.44 |
Health New England Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $14.79 | Professional | None | $8.32 | $10.96 | $14.79 |
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 $1.86 Median $2.09 Typical High $2.09 | Professional | 55 · Aftercare only | $1.86 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.26 Median $1.41 Typical High $1.41 | Professional | 56 · Pre-op care only | $1.26 | $1.41 | $1.41 |
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
$11.48
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.