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 $2,041.74 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,041.74 | $2,290.87 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $4,786.30 Typical High $5,754.40 | Facility | None | $3,715.35 | $4,786.30 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $3,019.95 | Professional | None | $2,754.23 | $2,884.03 | $3,019.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | RR · Rental | $288.40 | $288.40 | $288.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | UE · Used equipment | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,019.95 | Facility | None | $2,884.03 | $2,884.03 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
ConnectiCare Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
ConnectiCare Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $5,248.07 | Professional | None | $3,090.30 | $3,311.31 | $5,248.07 |
Health New England Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,344.23 Typical High $3,235.94 | Professional | None | $1,778.28 | $2,344.23 | $3,235.94 |
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 $309.03 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $309.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $208.93 | $229.09 | $229.09 |
Where Connecticut sits
The same service costs 2.4 times more in Montana than in Delaware. 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
$2,884
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.