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 $2.09 Median $3.09 Typical High $3.09 | Professional | None | $2.09 | $3.09 | $3.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.88 | Professional | None | $2.40 | $2.40 | $2.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.24 Median $0.24 Typical High $0.26 | Professional | RR · Rental | $0.24 | $0.24 | $0.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | UE · Used equipment | $1.82 | $1.82 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Facility | None | $2.95 | $2.95 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.95 | Professional | None | $2.45 | $2.45 | $2.95 |
ConnectiCare Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $3.47 | Facility | None | $3.16 | $3.16 | $3.47 |
ConnectiCare Setting Professional Modifier None Typical Low $3.16 Median $3.47 Typical High $5.25 | Professional | None | $3.16 | $3.47 | $5.25 |
Health New England Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Health New England Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.40 Typical High $3.16 | Professional | None | $1.78 | $2.40 | $3.16 |
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 $0.35 Median $0.47 Typical High $0.47 | Professional | 55 · Aftercare only | $0.35 | $0.47 | $0.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.31 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.23 | $0.31 | $0.31 |
Where Connecticut sits
The same service costs 5.5 times more in Kansas than in Delaware. 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· 46th of 51
$2.45
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.