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 $6.17 Median $8.13 Typical High $8.13 | Professional | None | $6.17 | $8.13 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $8.51 | Professional | None | $6.31 | $6.31 | $8.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | RR · Rental | $0.63 | $0.63 | $0.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | UE · Used equipment | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.94 | Facility | None | $7.59 | $7.59 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | None | $6.46 | $6.46 | $7.59 |
ConnectiCare Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $8.13 | Facility | None | $7.24 | $7.24 | $8.13 |
ConnectiCare Setting Professional Modifier None Typical Low $8.13 Median $8.91 Typical High $13.49 | Professional | None | $8.13 | $8.91 | $13.49 |
Health New England Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.31 Typical High $7.76 | Professional | None | $4.57 | $6.31 | $7.76 |
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 $0.93 Median $1.23 Typical High $1.23 | Professional | 55 · Aftercare only | $0.93 | $1.23 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.62 | $0.81 | $0.81 |
Where Connecticut sits
The same service costs 2.1 times more in Idaho 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
$6.46
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.