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 $2.19 Median $2.82 Typical High $2.82 | Professional | None | $2.19 | $2.82 | $2.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.24 | Professional | None | $2.14 | $2.14 | $3.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | RR · Rental | $0.21 | $0.21 | $0.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | UE · Used equipment | $1.58 | $1.58 | $1.58 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $2.82 | Facility | None | $2.69 | $2.69 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.69 | Professional | None | $2.29 | $2.29 | $2.69 |
ConnectiCare Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.82 | Facility | None | $2.75 | $2.75 | $2.82 |
ConnectiCare Setting Professional Modifier None Typical Low $2.82 Median $3.09 Typical High $4.57 | Professional | None | $2.82 | $3.09 | $4.57 |
Health New England Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.19 Typical High $2.75 | Professional | None | $1.62 | $2.19 | $2.75 |
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 $0.33 Median $0.42 Typical High $0.42 | Professional | 55 · Aftercare only | $0.33 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.22 | $0.28 | $0.28 |
Where Connecticut sits
The same service costs 2.3 times more in Hawaii 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
$2.24
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.