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 $56.23 Median $63.10 Typical High $63.10 | Professional | None | $56.23 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $3.89 | $3.89 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $41.69 | Facility | None | $38.02 | $38.02 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $107.15 | Professional | None | $52.48 | $58.88 | $107.15 |
United Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $104.71 | Professional | None | $36.31 | $54.95 | $104.71 |
5 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 $28.18 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.18 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.22 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $8.32 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.62 | $6.31 | $6.31 |
Well Sense Setting Facility Modifier HN · Bachelor's level Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | HN · Bachelor's level | $60.26 | $60.26 | $60.26 |
Where New Hampshire sits
The same service costs 49.0 times more in North Dakota than in Hawaii. 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· 48th of 51
$38.90
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.