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 $3.98 Median $4.79 Typical High $4.79 | Professional | None | $3.98 | $4.79 | $4.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | None | $4.57 | $4.79 | $4.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.46 Median $0.46 Typical High $0.46 | Professional | RR · Rental | $0.46 | $0.46 | $0.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | UE · Used equipment | $3.39 | $3.39 | $3.39 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.89 | Facility | None | $5.50 | $5.50 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $5.50 | Professional | None | $4.68 | $4.68 | $5.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.55 Median $7.94 Typical High $13.18 | Professional | None | $3.55 | $7.94 | $13.18 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $7.41 | Professional | None | $3.02 | $4.57 | $7.41 |
Well Sense Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
4 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 52 · Reduced service Typical Low $2.00 Median $2.40 Typical High $2.40 | Professional | 52 · Reduced service | $2.00 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.95 Typical High $0.95 | Professional | 53 · Discontinued | $0.79 | $0.95 | $0.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $0.72 Typical High $0.72 | Professional | 55 · Aftercare only | $0.60 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.48 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.40 | $0.48 | $0.48 |
Where New Hampshire sits
The same service costs 2.3 times more in Kansas than in Alabama. 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
$4.79
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.