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 $34.67 Median $42.66 Typical High $42.66 | Professional | None | $34.67 | $42.66 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $47.86 Median $61.66 Typical High $74.13 | Facility | None | $47.86 | $61.66 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $144.54 | Professional | None | $30.90 | $42.66 | $144.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $6.17 Typical High $38.90 | Professional | RR · Rental | $3.89 | $6.17 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $42.66 | Facility | None | $40.74 | $40.74 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
ConnectiCare Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
ConnectiCare Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $89.13 | Professional | None | $37.15 | $56.23 | $89.13 |
Health New England Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $42.66 | Professional | None | $20.89 | $31.62 | $42.66 |
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 $5.37 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $5.37 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.27 Typical High $4.37 | Professional | 56 · Pre-op care only | $3.89 | $4.27 | $4.37 |
Where Connecticut sits
The same service costs 2.6 times more in Wyoming than in Kentucky. 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· 40th of 51
$36.31
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.