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 $100.00 Median $128.82 Typical High $128.82 | Professional | None | $100.00 | $128.82 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $251.19 Typical High $295.12 | Facility | None | $213.80 | $251.19 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | RR · Rental | $13.80 | $13.80 | $13.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $186.21 | Facility | None | $165.96 | $165.96 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $104.71 Median $204.17 Typical High $331.13 | Professional | None | $104.71 | $204.17 | $331.13 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Facility | None | $154.88 | $154.88 | $213.80 |
United Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $186.21 | Professional | None | $87.10 | $114.82 | $186.21 |
Well Sense Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
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 $50.12 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $50.12 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $15.14 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $12.88 Typical High $12.88 | Professional | 56 · Pre-op care only | $10.00 | $12.88 | $12.88 |
Where New Hampshire sits
The same service costs 4.4 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· 40th of 51
$138
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.