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 $0.98 Median $1.23 Typical High $1.23 | Professional | None | $0.98 | $1.23 | $1.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.17 Typical High $1.48 | Professional | None | $1.12 | $1.17 | $1.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | RR · Rental | $0.11 | $0.11 | $0.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.83 Median $0.83 Typical High $1.12 | Professional | UE · Used equipment | $0.83 | $0.83 | $1.12 |
Cigna Setting Facility Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Facility | None | $1.35 | $1.35 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.35 | Professional | None | $1.12 | $1.12 | $1.35 |
ConnectiCare Setting Facility Modifier None Typical Low $1.23 Median $1.23 Typical High $1.78 | Facility | None | $1.23 | $1.23 | $1.78 |
ConnectiCare Setting Professional Modifier None Typical Low $1.23 Median $1.45 Typical High $2.40 | Professional | None | $1.23 | $1.45 | $2.40 |
Health New England Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | None | $0.43 | $0.43 | $0.43 |
United Setting Professional Modifier None Typical Low $0.72 Median $0.95 Typical High $1.32 | Professional | None | $0.72 | $0.95 | $1.32 |
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 $0.15 Median $0.18 Typical High $0.18 | Professional | 55 · Aftercare only | $0.15 | $0.18 | $0.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.12 Typical High $0.12 | Professional | 56 · Pre-op care only | $0.10 | $0.12 | $0.12 |
Where Connecticut sits
The same service costs 5.8 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· 42nd of 51
$1.12
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.