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 $5.50 Median $6.61 Typical High $6.61 | Professional | None | $5.50 | $6.61 | $6.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $6.76 Typical High $6.76 | Professional | None | $6.31 | $6.76 | $6.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | RR · Rental | $0.63 | $0.63 | $0.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | UE · Used equipment | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $8.13 | Facility | None | $7.59 | $7.59 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | None | $6.46 | $6.46 | $7.59 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4.90 Median $10.96 Typical High $18.20 | Professional | None | $4.90 | $10.96 | $18.20 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.31 Typical High $10.23 | Professional | None | $4.17 | $6.31 | $10.23 |
Well Sense Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
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 $0.83 Median $1.00 Typical High $1.00 | Professional | 55 · Aftercare only | $0.83 | $1.00 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.66 Typical High $0.66 | Professional | 56 · Pre-op care only | $0.55 | $0.66 | $0.66 |
Where New Hampshire sits
The same service costs 2.1 times more in Idaho 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· 46th of 51
$6.61
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.