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 $3.63 Median $4.37 Typical High $4.37 | Professional | None | $3.63 | $4.37 | $4.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $4.47 Typical High $4.47 | Professional | None | $4.17 | $4.47 | $4.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.42 Median $0.42 Typical High $0.42 | Professional | RR · Rental | $0.42 | $0.42 | $0.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | UE · Used equipment | $3.16 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.37 | Facility | None | $5.01 | $5.01 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.01 | Professional | None | $4.27 | $4.27 | $5.01 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.24 Median $7.41 Typical High $12.02 | Professional | None | $3.24 | $7.41 | $12.02 |
United Setting Professional Modifier None Typical Low $2.75 Median $4.17 Typical High $6.76 | Professional | None | $2.75 | $4.17 | $6.76 |
Well Sense Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
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 $0.55 Median $0.66 Typical High $0.66 | Professional | 55 · Aftercare only | $0.55 | $0.66 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.37 | $0.44 | $0.44 |
Where New Hampshire sits
The same service costs 2.1 times more in Hawaii than in Delaware. 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· 45th of 51
$4.37
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.