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 $2.29 Median $2.75 Typical High $2.75 | Professional | None | $2.29 | $2.75 | $2.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | RR · Rental | $0.26 | $0.26 | $0.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | UE · Used equipment | $1.95 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.80 | Facility | None | $3.55 | $3.55 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.55 | Professional | None | $2.95 | $2.95 | $3.55 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.04 Median $4.57 Typical High $7.59 | Professional | None | $2.04 | $4.57 | $7.59 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.63 Typical High $4.27 | Professional | None | $1.74 | $2.63 | $4.27 |
Well Sense Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
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 $1.15 Median $1.38 Typical High $1.38 | Professional | 52 · Reduced service | $1.15 | $1.38 | $1.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.55 Typical High $0.55 | Professional | 53 · Discontinued | $0.46 | $0.55 | $0.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.42 Typical High $0.42 | Professional | 55 · Aftercare only | $0.34 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.28 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.23 | $0.28 | $0.28 |
Where New Hampshire sits
The same service costs 2.6 times more in Kansas than in New Hampshire. 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· 51st of 51
$2.63
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.