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 $46.77 Median $53.70 Typical High $69.18 | Professional | None | $46.77 | $53.70 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $100.00 | Facility | None | $64.57 | $83.18 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $81.28 | Professional | None | $52.48 | $69.18 | $81.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.89 Median $6.92 Typical High $8.13 | Professional | RR · Rental | $5.89 | $6.92 | $8.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $52.48 Typical High $61.66 | Professional | UE · Used equipment | $44.67 | $52.48 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
United Setting Professional Modifier None Typical Low $32.36 Median $67.61 Typical High $109.65 | Professional | None | $32.36 | $67.61 | $109.65 |
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 $7.08 Median $7.94 Typical High $10.47 | Professional | 55 · Aftercare only | $7.08 | $7.94 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $5.37 Typical High $6.92 | Professional | 56 · Pre-op care only | $4.68 | $5.37 | $6.92 |
Where Connecticut sits
The same service costs 5.5 times more in Iowa than in Kansas. 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· 32nd of 51
$67.61
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.