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 $5.01 Median $7.41 Typical High $7.41 | Professional | None | $5.01 | $7.41 | $7.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $8.71 | Professional | None | $5.75 | $5.75 | $8.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.56 Typical High $0.56 | Professional | RR · Rental | $0.56 | $0.56 | $0.56 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | UE · Used equipment | $4.27 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $7.24 | Facility | None | $6.92 | $6.92 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.92 | Professional | None | $5.89 | $5.89 | $6.92 |
ConnectiCare Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.76 | Facility | None | $7.41 | $7.41 | $7.76 |
ConnectiCare Setting Professional Modifier None Typical Low $7.41 Median $7.94 Typical High $12.30 | Professional | None | $7.41 | $7.94 | $12.30 |
Health New England Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $7.08 | Professional | None | $4.17 | $5.75 | $7.08 |
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 $0.83 Median $1.10 Typical High $1.10 | Professional | 55 · Aftercare only | $0.83 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.56 Median $0.74 Typical High $0.74 | Professional | 56 · Pre-op care only | $0.56 | $0.74 | $0.74 |
Where Connecticut sits
The same service costs 2.1 times more in Idaho than in Colorado. 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· 47th of 51
$5.89
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.