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 $1.62 Median $2.00 Typical High $2.00 | Professional | None | $1.62 | $2.00 | $2.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.00 Typical High $2.00 | Professional | None | $1.91 | $2.00 | $2.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.19 Median $0.19 Typical High $0.19 | Professional | RR · Rental | $0.19 | $0.19 | $0.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | UE · Used equipment | $1.41 | $1.41 | $1.41 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.45 | Facility | None | $2.29 | $2.29 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.29 | Professional | None | $1.95 | $1.95 | $2.29 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.48 Median $3.31 Typical High $5.37 | Professional | None | $1.48 | $3.31 | $5.37 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.86 Typical High $3.09 | Professional | None | $1.26 | $1.86 | $3.09 |
Well Sense Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
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 $0.25 Median $0.30 Typical High $0.30 | Professional | 55 · Aftercare only | $0.25 | $0.30 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.20 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.17 | $0.20 | $0.20 |
Where New Hampshire sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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
$2.00
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.