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 $912.01 Median $1,174.90 Typical High $1,174.90 | Professional | None | $912.01 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,630.27 | Facility | None | $1,949.84 | $2,290.87 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,148.15 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,174.90 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,174.90 | Professional | None | $870.96 | $870.96 | $1,174.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $812.83 Median $1,819.70 Typical High $3,019.95 | Professional | None | $812.83 | $1,819.70 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Facility | None | $1,174.90 | $1,174.90 | $1,479.11 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,047.13 Typical High $1,698.24 | Professional | None | $691.83 | $1,047.13 | $1,698.24 |
Well Sense Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
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 $457.09 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $457.09 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $181.97 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $91.20 | $117.49 | $117.49 |
Where New Hampshire sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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· 33rd of 51
$1,175
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.