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 $48.98 Median $63.10 Typical High $63.10 | Professional | None | $48.98 | $63.10 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $144.54 | Facility | None | $104.71 | $123.03 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | None | $63.10 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $6.31 | $6.31 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | UE · Used equipment | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $72.44 | Facility | None | $64.57 | $64.57 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | None | $46.77 | $46.77 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $46.77 Median $100.00 Typical High $162.18 | Professional | None | $46.77 | $100.00 | $162.18 |
United Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $91.20 | Professional | None | $38.90 | $56.23 | $91.20 |
Well Sense Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
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 $24.55 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $24.55 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $9.77 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $7.41 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $4.90 | $6.31 | $6.31 |
Where New Hampshire sits
The same service costs 2.6 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· 37th of 51
$63.10
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.