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 $549.54 Median $616.60 Typical High $616.60 | Professional | None | $549.54 | $616.60 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,288.25 Typical High $1,548.82 | Facility | None | $1,000.00 | $1,288.25 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $851.14 | Professional | None | $741.31 | $776.25 | $851.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $758.58 | Facility | None | $724.44 | $724.44 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
ConnectiCare Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $1,412.54 | Professional | None | $831.76 | $891.25 | $1,412.54 |
Health New England Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $870.96 | Professional | None | $478.63 | $630.96 | $870.96 |
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 $83.18 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $83.18 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $56.23 | $61.66 | $61.66 |
Where Connecticut sits
The same service costs 2.4 times more in Hawaii 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· 29th of 51
$776
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.