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 $0.87 Median $1.07 Typical High $1.07 | Professional | None | $0.87 | $1.07 | $1.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $1.05 Typical High $1.05 | Professional | None | $1.00 | $1.05 | $1.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.10 Median $0.10 Typical High $0.10 | Professional | RR · Rental | $0.10 | $0.10 | $0.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.74 Median $0.74 Typical High $1.05 | Professional | UE · Used equipment | $0.74 | $0.74 | $1.05 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $1.20 Typical High $1.29 | Facility | None | $1.20 | $1.20 | $1.29 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.20 | Professional | None | $1.02 | $1.02 | $1.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.78 Median $1.78 Typical High $2.88 | Professional | None | $0.78 | $1.78 | $2.88 |
United Setting Professional Modifier None Typical Low $0.68 Median $1.00 Typical High $1.62 | Professional | None | $0.68 | $1.00 | $1.62 |
Well Sense Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Facility | None | $2.00 | $2.00 | $2.00 |
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 $0.13 Median $0.16 Typical High $0.16 | Professional | 55 · Aftercare only | $0.13 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.09 | $0.11 | $0.11 |
Where New Hampshire sits
The same service costs 2.1 times more in Kansas than in Kentucky. 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· 40th of 51
$1.05
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.