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 $102.33 Median $131.83 Typical High $131.83 | Professional | None | $102.33 | $131.83 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $257.04 Typical High $295.12 | Facility | None | $218.78 | $257.04 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | None | $107.15 | $107.15 | $109.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $10.72 | $10.72 | $10.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | UE · Used equipment | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $134.90 | Facility | None | $123.03 | $123.03 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $89.13 Median $204.17 Typical High $338.84 | Professional | None | $89.13 | $204.17 | $338.84 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Facility | None | $87.10 | $87.10 | $100.00 |
United Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $190.55 | Professional | None | $77.62 | $117.49 | $190.55 |
Well Sense Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
4 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 52 · Reduced service Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $15.49 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $10.23 | $13.18 | $13.18 |
Where New Hampshire sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 31st of 51
$110
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.