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 $660.69 Median $851.14 Typical High $851.14 | Professional | None | $660.69 | $851.14 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,659.59 Typical High $1,905.46 | Facility | None | $1,412.54 | $1,659.59 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,230.27 | Facility | None | $1,148.15 | $1,148.15 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,148.15 | Professional | None | $831.76 | $831.76 | $1,148.15 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $676.08 Median $1,318.26 Typical High $2,187.76 | Professional | None | $676.08 | $1,318.26 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,258.93 | Facility | None | $1,000.00 | $1,000.00 | $1,258.93 |
United Setting Professional Modifier None Typical Low $562.34 Median $758.58 Typical High $1,230.27 | Professional | None | $562.34 | $758.58 | $1,230.27 |
Well Sense Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $331.13 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $100.00 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $66.07 | $85.11 | $85.11 |
Where New Hampshire sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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
$912
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.