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 $30.20 Median $43.65 Typical High $43.65 | Professional | None | $30.20 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $50.12 | Professional | None | $28.84 | $28.84 | $50.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | RR · Rental | $2.88 | $2.88 | $2.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | UE · Used equipment | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
ConnectiCare Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
ConnectiCare Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $64.57 | Professional | None | $41.69 | $44.67 | $64.57 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $42.66 | Professional | None | $25.12 | $33.11 | $42.66 |
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 $5.01 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $5.01 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.31 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.31 | $4.37 | $4.37 |
Where Connecticut sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 48th of 51
$31.62
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.