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 $691.83 Median $891.25 Typical High $891.25 | Professional | None | $691.83 | $891.25 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,995.26 | Facility | None | $1,445.44 | $1,698.24 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | None | $707.95 | $741.31 | $741.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $70.79 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $812.83 | Facility | None | $741.31 | $741.31 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $602.56 Median $1,380.38 Typical High $2,238.72 | Professional | None | $602.56 | $1,380.38 | $2,238.72 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Facility | None | $776.25 | $776.25 | $912.01 |
United Setting Professional Modifier None Typical Low $524.81 Median $776.25 Typical High $1,258.93 | Professional | None | $524.81 | $776.25 | $1,258.93 |
Well Sense Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $346.74 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $346.74 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $138.04 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $102.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $69.18 | $89.13 | $89.13 |
Where New Hampshire sits
The same service costs 4.6 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· 30th of 51
$741
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.