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 $29.51 Median $35.48 Typical High $35.48 | Professional | None | $29.51 | $35.48 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | None | $28.84 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | RR · Rental | $2.88 | $2.88 | $2.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | UE · Used equipment | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.92 Median $60.26 Typical High $97.72 | Professional | None | $26.92 | $60.26 | $97.72 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $54.95 | Professional | None | $22.91 | $33.88 | $54.95 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
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 $4.47 Median $5.37 Typical High $5.37 | Professional | 55 · Aftercare only | $4.47 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.63 Typical High $3.63 | Professional | 56 · Pre-op care only | $2.95 | $3.63 | $3.63 |
Where New Hampshire sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 50th of 51
$30.90
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.