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 $1,659.59 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,659.59 | $1,862.09 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $4,677.35 | Facility | None | $3,019.95 | $3,890.45 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,290.87 | Professional | None | $2,137.96 | $2,137.96 | $2,290.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | RR · Rental | $213.80 | $213.80 | $213.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | UE · Used equipment | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,691.53 | Facility | None | $2,511.89 | $2,511.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,862.09 | $1,862.09 | $2,511.89 |
ConnectiCare Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
ConnectiCare Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $4,265.80 | Professional | None | $2,511.89 | $2,691.53 | $4,265.80 |
Health New England Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $2,630.27 | Professional | None | $1,445.44 | $1,905.46 | $2,630.27 |
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 $251.19 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $251.19 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $169.82 | $186.21 | $186.21 |
Where Connecticut sits
The same service costs 2.2 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· 35th of 51
$2,138
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.