Logo
Connecticut

Cost of a Knee Arthroscopy Visit
in Connecticut

Reviewed by Momentary Medical Group West PC

Connecticut's concentration of academic medical centers and specialty practices drives the state's healthcare costs approximately 14% above national averages. Knee Arthroscopy patients typically pay between $365.95 and $2,410.25, with a median out-of-pocket cost of $706.78 based on negotiated insurance rates. The state has 395 active Knee Arthroscopy providers across urban centers like Hartford and New Haven, as well as suburban communities throughout Fairfield and New London counties.

Average

$1,161

Median

$707

Lowest

$366

Highest

$2,410

Providers

395

National avg: $941Connecticut: $1,161

23% above national average

Compare Similar Procedures

How does knee arthroscopy compare to related procedures in Connecticut?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$909$1,791$6,051388
Hip Replacement

Total hip replacement (arthroplasty)

27130$807$1,720$6,060408
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$70$679$2,135414
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$416$848$1,820418
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$361$774$1,590441
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$527$1,116$3,201399
Septoplasty

Nasal septum repair

30520$432$780$2,160394
Tonsillectomy

Tonsillectomy, primary or secondary

42820$194$361$742393
Inguinal Hernia Repair

Inguinal hernia repair

49505$368$669$1,435384
Mastectomy

Partial or simple mastectomy

19301$426$836$2,642394
Carpal Tunnel Surgery

Open carpal tunnel release

64721$311$618$1,957394

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 29881Arthroscopy, knee, surgical; with meniscectomy). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 29881 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 29881 (Arthroscopy, knee, surgical; with meniscectomy), as mandated by the CMS Price Transparency Rule.

What CPT 29881 covers: the provider's professional fee for knee arthroscopy. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Connecticut

These hospitals in Connecticut are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

4/5
80% would recommend767 patient surveys
SHARON HOSPITAL

SHARON, CT

4/5
76% would recommend267 patient surveys
4/5
74% would recommend1,054 patient surveys
4/5
74% would recommend678 patient surveys
4/5
73% would recommend415 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Knee Arthroscopy Visit Costs Vary Across Connecticut

Connecticut's healthcare costs run approximately 14% above national averages, driven by the state's high concentration of academic medical centers and elevated cost of living. The proximity to New York City also influences salary expectations for specialists, creating upward pressure on procedure costs throughout the region.

Urban vs. Rural Provider Availability

Hartford, New Haven, and Stamford offer the highest concentration of orthopedic specialists, while rural areas in eastern and northwestern Connecticut have limited options. Patients in Litchfield and Windham counties often travel 30-45 minutes to access subspecialty care, though this geographic spread helps moderate costs outside major metropolitan areas. Telehealth consultations have improved access for follow-up visits in underserved regions.

Facility Type and Overhead Costs

Yale New Haven Health System, Hartford HealthCare, and Trinity Health control much of Connecticut's hospital-based orthopedic care, often charging significant facility fees. Independent surgical practices typically offer 20-40% lower costs but may have limited evening and weekend availability. The consolidation of practices into health systems has reduced competition in some markets, contributing to higher overall pricing.

Insurance Market Competition in Connecticut

Anthem, Cigna, and UnitedHealthcare maintain relatively balanced market share in Connecticut, preventing the monopolistic pricing seen in other states. The state's insurance exchange offers additional options for individual purchasers, creating more negotiating leverage for competitive rates. However, provider network restrictions can limit choice, particularly in specialized areas like sports medicine and joint surgery.

Physician Supply and Demand in Connecticut

Connecticut's 395 active Knee Arthroscopy providers represent adequate coverage for the state's population, though distribution favors urban areas. The presence of Yale School of Medicine and UConn School of Medicine helps maintain physician supply through residency and fellowship programs. Wait times for routine consultations typically range from 2-4 weeks, while urgent cases can often be seen within days.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Knee Arthroscopy Costs in Connecticut

What is the average cost of a Knee Arthroscopy visit in Connecticut without insurance?

Self-pay patients in Connecticut typically pay between $365.95 and $2,410.25 for a Knee Arthroscopy procedure, with a median cost of $706.78 based on negotiated insurance rates. Many orthopedic practices offer cash-pay discounts of 20-40% for upfront payment. Independent surgical centers often cost significantly less than hospital-based facilities, which may charge additional facility fees.

Does Connecticut Medicaid cover Knee Arthroscopy visits?

Yes, Connecticut's expanded Medicaid program covers Knee Arthroscopy visits when medically necessary. Patients must typically use providers within their assigned managed care network and may need referrals from primary care doctors. Coverage includes both consultations and arthroscopic procedures, though prior authorization may be required for surgical interventions.

How do I find an affordable Knee Arthroscopy near me in Connecticut?

Compare costs between independent orthopedic practices and hospital-based clinics, as independents often charge 20-40% less. Ask about self-pay discounts and payment plans if you're uninsured or have high deductibles. Community health centers in Hartford, New Haven, and Bridgeport may offer sliding-scale fees for lower-income patients, though specialist availability can be limited.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Knee Arthroscopy consultations typically cost more than follow-up visits due to the comprehensive evaluation required. New patient visits often include detailed history-taking, physical examination, and treatment planning, while follow-up appointments focus on progress assessment and care adjustments. The cost difference can range from $100-300 depending on the complexity and facility type.

Can I use an HSA or FSA to pay for a Knee Arthroscopy visit in Connecticut?

Yes, both HSA and FSA funds can be used for Knee Arthroscopy consultations and procedures as qualified medical expenses. This includes diagnostic visits, surgical procedures, and related imaging studies ordered by your orthopedic surgeon. Keep all receipts and documentation for tax purposes, as these expenses are fully eligible for reimbursement from your health savings accounts.

How does telemedicine affect the cost of seeing a Knee Arthroscopy in Connecticut?

Telemedicine consultations for Knee Arthroscopy follow-ups typically cost 30-50% less than in-person visits in Connecticut. While initial evaluations requiring physical examination must be done in person, many routine follow-ups can be conducted virtually. Connecticut's telemedicine coverage expanded significantly during the pandemic, with most insurers now covering virtual visits at the same rate as office visits.

Click a state to compare costs

Average Visit Cost

$357
$2,976

Office visit (CPT 29881)

Compare With Other States

RankStateAverage
1California
Range: $80$8,767
$2,976
2Wisconsin
Range: $73$4,236
$1,989
3Idaho
Range: $80$4,173
$1,697
4Rhode Island
Range: $452$2,410
$1,253
5Massachusetts
Range: $438$2,410
$1,247
6Minnesota
Range: $338$2,258
$1,163
7Connecticut
Range: $366$2,410
$1,161
8Delaware
Range: $412$2,410
$1,154
9Pennsylvania
Range: $366$2,410
$1,133
10Wyoming
Range: $648$1,845
$1,133
11New York
Range: $384$2,410
$1,111
12Georgia
Range: $450$2,024
$1,109
13Iowa
Range: $452$1,680
$1,102
14New Hampshire
Range: $573$1,631
$1,073
15Nebraska
Range: $655$1,294
$1,041
16West Virginia
Range: $482$1,901
$1,025
17South Dakota
Range: $387$1,811
$991
18District of Columbia
Range: $443$1,591
$987
19New Jersey
Range: $412$1,845
$945
20Maine
Range: $634$1,087
$925
21North Carolina
Range: $450$1,504
$916
22North Dakota
Range: $331$1,591
$891
23Illinois
Range: $90$1,895
$880
24Maryland
Range: $485$1,591
$878
25New Mexico
Range: $487$1,281
$869
26Colorado
Range: $452$1,326
$861
27Utah
Range: $80$1,294
$844
28Kentucky
Range: $394$1,419
$843
29Michigan
Range: $452$1,294
$833
30Oregon
Range: $80$1,591
$811
31Indiana
Range: $90$1,642
$798
32Vermont
Range: $410$1,326
$788
33Washington
Range: $80$1,475
$773
34Texas
Range: $421$1,250
$765
35South Carolina
Range: $422$1,266
$765
36Mississippi
Range: $424$1,330
$761
37Arkansas
Range: $479$1,034
$755
38Tennessee
Range: $466$1,057
$738
39Alabama
Range: $382$1,165
$722
40Missouri
Range: $507$892
$720
41Virginia
Range: $389$1,182
$719
42Nevada
Range: $452$1,051
$717
43Hawaii
Range: $80$1,287
$706
44Louisiana
Range: $394$1,089
$693
45Oklahoma
Range: $442$1,009
$671
46Kansas
Range: $507$860
$668
47Ohio
Range: $338$983
$635
48Arizona
Range: $452$907
$604
49Alaska
Range: $80$1,127
$429
50Montana
Range: $80$985
$382
51Florida
Range: $35$980
$357
Knee Arthroscopy in Other States