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 $4.07 Median $5.37 Typical High $5.37 | Professional | None | $4.07 | $5.37 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.90 | Professional | None | $4.17 | $4.17 | $4.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | RR · Rental | $0.42 | $0.42 | $0.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | UE · Used equipment | $3.16 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.25 | Facility | None | $5.01 | $5.01 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.01 | Professional | None | $4.27 | $4.27 | $5.01 |
ConnectiCare Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.50 | Facility | None | $5.25 | $5.25 | $5.50 |
ConnectiCare Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $8.91 | Professional | None | $5.50 | $5.89 | $8.91 |
Health New England Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
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 $3.09 Median $4.17 Typical High $5.37 | Professional | None | $3.09 | $4.17 | $5.37 |
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 $0.62 Median $0.81 Typical High $0.81 | Professional | 55 · Aftercare only | $0.62 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.54 Typical High $0.54 | Professional | 56 · Pre-op care only | $0.41 | $0.54 | $0.54 |
Where Connecticut sits
The same service costs 2.1 times more in Hawaii than in Delaware. 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· 46th of 51
$4.27
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.