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 $15.14 Median $28.84 Typical High $28.84 | Professional | None | $15.14 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | RR · Rental | $6.61 | $6.61 | $6.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | UE · Used equipment | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $11.48 | Facility | None | $10.72 | $10.72 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $10.72 | Professional | None | $7.76 | $7.76 | $10.72 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $97.72 | Professional | None | $52.48 | $52.48 | $97.72 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 $7.59 Median $14.45 Typical High $14.45 | Professional | 52 · Reduced service | $7.59 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $3.02 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $2.24 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $2.88 Typical High $2.88 | Professional | 56 · Pre-op care only | $1.51 | $2.88 | $2.88 |
Where New Hampshire sits
The same service costs 27.5 times more in Kansas than in South Carolina. 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· 6th of 51
$66.07
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.