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 $0.23 Median $0.32 Typical High $0.32 | Professional | None | $0.23 | $0.32 | $0.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.18 | Professional | None | $0.17 | $0.17 | $0.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.13 Median $0.13 Typical High $0.15 | Professional | UE · Used equipment | $0.13 | $0.13 | $0.15 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Facility | None | $0.20 | $0.20 | $0.20 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.20 | Professional | None | $0.17 | $0.17 | $0.20 |
ConnectiCare Setting Facility Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Facility | None | $0.17 | $0.17 | $0.17 |
ConnectiCare Setting Professional Modifier None Typical Low $0.17 Median $0.32 Typical High $0.50 | Professional | None | $0.17 | $0.32 | $0.50 |
Health New England Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Health New England Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | None | $0.13 | $0.13 | $0.13 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.18 Typical High $0.22 | Professional | None | $0.13 | $0.18 | $0.22 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.33 Median $0.33 Typical High $0.38 | Professional | AU · Urologic/ostomy supply | $0.33 | $0.33 | $0.38 |
Anthem BCBS Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.31 Median $0.37 Typical High $0.46 | Professional | AV · With prosthetic/orthotic | $0.31 | $0.37 | $0.46 |
Where Connecticut sits
The same service costs 2.7 times more in Arkansas than in Utah. 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· 41st of 51
$0.18
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.