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 $3.02 Median $4.47 Typical High $4.47 | Professional | None | $3.02 | $4.47 | $4.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $4.68 | Professional | None | $3.47 | $3.47 | $4.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | RR · Rental | $0.35 | $0.35 | $0.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | UE · Used equipment | $2.57 | $2.57 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.37 | Facility | None | $4.17 | $4.17 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.17 | Professional | None | $3.55 | $3.55 | $4.17 |
ConnectiCare Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.47 | Facility | None | $4.07 | $4.07 | $4.47 |
ConnectiCare Setting Professional Modifier None Typical Low $4.47 Median $4.79 Typical High $7.41 | Professional | None | $4.47 | $4.79 | $7.41 |
Health New England Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Health New England Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.47 Typical High $4.47 | Professional | None | $2.51 | $3.47 | $4.47 |
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 $0.51 Median $0.66 Typical High $0.66 | Professional | 55 · Aftercare only | $0.51 | $0.66 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.34 | $0.44 | $0.44 |
Where Connecticut sits
The same service costs 2.1 times more in Kansas 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· 49th of 51
$3.55
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.