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 $794.33 Median $1,023.29 Typical High $1,023.29 | Professional | None | $794.33 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $2,290.87 | Facility | None | $1,698.24 | $1,995.26 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | None | $831.76 | $831.76 | $851.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $691.83 Median $1,584.89 Typical High $2,630.27 | Professional | None | $691.83 | $1,584.89 | $2,630.27 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Facility | None | $851.14 | $851.14 | $870.96 |
United Setting Professional Modifier None Typical Low $602.56 Median $912.01 Typical High $1,479.11 | Professional | None | $602.56 | $912.01 | $1,479.11 |
Well Sense Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $398.11 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $398.11 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $120.23 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $79.43 | $102.33 | $102.33 |
Where New Hampshire sits
The same service costs 3.0 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· 32nd of 51
$851
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.