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 $9.33 Median $11.75 Typical High $11.75 | Professional | None | $9.33 | $11.75 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | RR · Rental | $1.00 | $1.00 | $1.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | UE · Used equipment | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $14.45 | Facility | None | $9.55 | $13.49 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.18 | Professional | None | $11.48 | $11.48 | $13.18 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $9.55 Median $18.62 Typical High $30.20 | Professional | None | $9.55 | $18.62 | $30.20 |
United Setting Professional Modifier None Typical Low $7.41 Median $11.22 Typical High $17.38 | Professional | None | $7.41 | $11.22 | $17.38 |
Well Sense Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
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 $1.41 Median $1.78 Typical High $1.78 | Professional | 55 · Aftercare only | $1.41 | $1.78 | $1.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $1.17 Typical High $1.17 | Professional | 56 · Pre-op care only | $0.93 | $1.17 | $1.17 |
Where New Hampshire sits
The same service costs 2.8 times more in Hawaii than in Connecticut. 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.
New Hampshire· 44th of 51
$11.22
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.