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 $2.04 Median $2.45 Typical High $2.45 | Professional | None | $2.04 | $2.45 | $2.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.29 Median $2.45 Typical High $2.45 | Professional | None | $2.29 | $2.45 | $2.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.23 Median $0.23 Typical High $0.23 | Professional | RR · Rental | $0.23 | $0.23 | $0.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | UE · Used equipment | $1.74 | $1.74 | $1.74 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.82 | Facility | None | $2.57 | $2.57 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.19 | Professional | None | $1.91 | $2.19 | $2.19 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.82 Median $4.07 Typical High $6.61 | Professional | None | $1.82 | $4.07 | $6.61 |
United Setting Professional Modifier None Typical Low $1.55 Median $2.29 Typical High $3.89 | Professional | None | $1.55 | $2.29 | $3.89 |
Well Sense Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
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 $0.30 Median $0.36 Typical High $0.36 | Professional | 55 · Aftercare only | $0.30 | $0.36 | $0.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.24 Typical High $0.24 | Professional | 56 · Pre-op care only | $0.20 | $0.24 | $0.24 |
Where New Hampshire sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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
$2.29
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.