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 $10.23 Median $13.49 Typical High $13.49 | Professional | None | $10.23 | $13.49 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | None | $10.47 | $10.47 | $11.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | UE · Used equipment | $7.94 | $7.94 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.75 Typical High $11.75 | Professional | None | $8.71 | $11.75 | $11.75 |
ConnectiCare Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
ConnectiCare Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $23.44 | Professional | None | $13.49 | $15.14 | $23.44 |
Health New England Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $12.88 | Professional | None | $7.59 | $10.47 | $12.88 |
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 $1.55 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $1.55 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.02 Median $1.35 Typical High $1.35 | Professional | 56 · Pre-op care only | $1.02 | $1.35 | $1.35 |
Where Connecticut sits
The same service costs 2.3 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
$10.47
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.