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 $691.83 Median $891.25 Typical High $891.25 | Professional | None | $691.83 | $891.25 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,041.74 | Facility | None | $1,479.11 | $1,737.80 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | UE · Used equipment | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Facility | None | $1,047.13 | $1,047.13 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,047.13 | Professional | None | $776.25 | $776.25 | $1,047.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $2,290.87 | Professional | None | $616.60 | $1,412.54 | $2,290.87 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $977.24 | Facility | None | $851.14 | $851.14 | $977.24 |
United Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,288.25 | Professional | None | $537.03 | $794.33 | $1,288.25 |
Well Sense Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $346.74 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $104.71 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $89.13 | $89.13 |
Where New Hampshire sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 38th of 51
$776
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.