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 $398.11 Median $512.86 Typical High $512.86 | Professional | None | $398.11 | $512.86 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,148.15 | Facility | None | $851.14 | $1,000.00 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | None | $489.78 | $489.78 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | UE · Used equipment | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Facility | None | $512.86 | $512.86 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None | $371.54 | $371.54 | $512.86 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $371.54 Median $794.33 Typical High $1,318.26 | Professional | None | $371.54 | $794.33 | $1,318.26 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $549.54 | Facility | None | $478.63 | $478.63 | $549.54 |
United Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $741.31 | Professional | None | $309.03 | $457.09 | $741.31 |
Well Sense Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
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 $199.53 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $79.43 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $60.26 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $39.81 | $51.29 | $51.29 |
Where New Hampshire sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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
$490
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.