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 $7.24 Median $8.71 Typical High $8.71 | Professional | None | $7.24 | $8.71 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $7.59 Typical High $7.59 | Professional | None | $7.08 | $7.59 | $7.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.71 Median $0.71 Typical High $0.71 | Professional | RR · Rental | $0.71 | $0.71 | $0.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.72 | Facility | None | $10.00 | $10.00 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.00 | Professional | None | $8.51 | $8.51 | $10.00 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $6.46 Median $14.45 Typical High $23.99 | Professional | None | $6.46 | $14.45 | $23.99 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.32 Typical High $13.49 | Professional | None | $5.50 | $8.32 | $13.49 |
Well Sense Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
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 $1.10 Median $1.32 Typical High $1.32 | Professional | 55 · Aftercare only | $1.10 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.87 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.72 | $0.87 | $0.87 |
Where New Hampshire sits
The same service costs 2.3 times more in Montana 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· 50th of 51
$7.59
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.