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 $1.10 Median $1.32 Typical High $1.32 | Professional | None | $1.10 | $1.32 | $1.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.26 Median $1.32 Typical High $1.32 | Professional | None | $1.26 | $1.32 | $1.32 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | RR · Rental | $0.13 | $0.13 | $0.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | UE · Used equipment | $0.93 | $0.93 | $0.93 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.62 | Facility | None | $1.51 | $1.51 | $1.62 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.51 | Professional | None | $1.29 | $1.29 | $1.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.98 Median $2.19 Typical High $3.63 | Professional | None | $0.98 | $2.19 | $3.63 |
United Setting Professional Modifier None Typical Low $0.83 Median $1.26 Typical High $2.04 | Professional | None | $0.83 | $1.26 | $2.04 |
Well Sense Setting Facility Modifier None Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
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 $0.17 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.17 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.11 | $0.13 | $0.13 |
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· 45th of 51
$1.32
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.