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 $7.76 Median $10.23 Typical High $10.23 | Professional | None | $7.76 | $10.23 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $8.51 | Professional | None | $7.94 | $7.94 | $8.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | RR · Rental | $0.79 | $0.79 | $0.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | UE · Used equipment | $5.89 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $9.55 | Professional | None | $8.13 | $8.13 | $9.55 |
ConnectiCare Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
ConnectiCare Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $17.78 | Professional | None | $10.23 | $10.96 | $17.78 |
Health New England Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Health New England Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $9.77 | Professional | None | $5.75 | $7.94 | $9.77 |
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 $1.15 Median $1.51 Typical High $1.51 | Professional | 55 · Aftercare only | $1.15 | $1.51 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $1.02 Typical High $1.02 | Professional | 56 · Pre-op care only | $0.78 | $1.02 | $1.02 |
Where Connecticut sits
The same service costs 2.2 times more in Kansas 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
$8.13
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.