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 $1,047.13 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,047.13 | $1,348.96 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $3,019.95 | Facility | None | $2,187.76 | $2,570.40 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | UE · Used equipment | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,479.11 | Facility | None | $1,380.38 | $1,380.38 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $912.01 Median $2,089.30 Typical High $3,388.44 | Professional | None | $912.01 | $2,089.30 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,174.90 | Facility | None | $1,000.00 | $1,000.00 | $1,174.90 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,174.90 Typical High $1,905.46 | Professional | None | $794.33 | $1,174.90 | $1,905.46 |
Well Sense Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $524.81 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $524.81 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $208.93 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $154.88 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $104.71 | $134.90 | $134.90 |
Where New Hampshire sits
The same service costs 2.7 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· 32nd of 51
$1,096
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.