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 $5.89 Median $7.08 Typical High $7.08 | Professional | None | $5.89 | $7.08 | $7.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $7.08 Typical High $7.08 | Professional | None | $6.76 | $7.08 | $7.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | RR · Rental | $0.68 | $0.68 | $0.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | UE · Used equipment | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.71 | Facility | None | $8.13 | $8.13 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.13 | Professional | None | $6.92 | $6.92 | $8.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $5.25 Median $11.75 Typical High $19.05 | Professional | None | $5.25 | $11.75 | $19.05 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.76 Typical High $10.96 | Professional | None | $4.47 | $6.76 | $10.96 |
Well Sense Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
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 $0.87 Median $1.07 Typical High $1.07 | Professional | 55 · Aftercare only | $0.87 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.71 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.59 | $0.71 | $0.71 |
Where New Hampshire sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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· 43rd of 51
$7.08
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.