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 $6.61 Median $7.41 Typical High $9.55 | Professional | None | $6.61 | $7.41 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $11.48 Typical High $14.13 | Facility | None | $8.91 | $11.48 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $9.55 Typical High $11.22 | Professional | None | $7.24 | $9.55 | $11.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.81 Median $0.95 Typical High $1.12 | Professional | RR · Rental | $0.81 | $0.95 | $1.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.17 Median $7.24 Typical High $8.51 | Professional | UE · Used equipment | $6.17 | $7.24 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $4.47 Median $9.33 Typical High $15.49 | Professional | None | $4.47 | $9.33 | $15.49 |
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 $0.98 Median $1.12 Typical High $1.45 | Professional | 55 · Aftercare only | $0.98 | $1.12 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.66 Median $0.74 Typical High $0.95 | Professional | 56 · Pre-op care only | $0.66 | $0.74 | $0.95 |
Where Connecticut sits
The same service costs 4.6 times more in Florida than in New York. 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· 30th of 51
$9.55
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.