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 $602.56 Median $812.83 Typical High $812.83 | Professional | None | $602.56 | $812.83 | $812.83 |
Ambetter Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $977.24 Typical High $1,148.15 | Facility | None | $831.76 | $977.24 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | RR · Rental | $74.13 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | UE · Used equipment | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | None | $588.84 | $588.84 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | RR · Rental | $69.18 | $69.18 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $489.78 Median $794.33 Typical High $1,288.25 | Professional | None | $489.78 | $794.33 | $1,288.25 |
United Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $1,122.02 | Professional | None | $457.09 | $691.83 | $1,122.02 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
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 $302.00 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $302.00 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $120.23 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $91.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $60.26 | $81.28 | $81.28 |
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· 32nd of 51
$741
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.