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 $524.81 Median $707.95 Typical High $707.95 | Professional | None | $524.81 | $707.95 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $851.14 Typical High $1,000.00 | Facility | None | $724.44 | $851.14 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $70.79 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Facility | None | $758.58 | $758.58 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $436.52 Median $676.08 Typical High $1,122.02 | Professional | None | $436.52 | $676.08 | $1,122.02 |
United Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $977.24 | Professional | None | $398.11 | $602.56 | $977.24 |
Well Sense Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
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 $263.03 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $263.03 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $104.71 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $79.43 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $52.48 | $70.79 | $70.79 |
Where New Hampshire sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 17th of 51
$708
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.