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 $208.93 Median $269.15 Typical High $269.15 | Professional | None | $208.93 | $269.15 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $446.68 Median $524.81 Typical High $602.56 | Facility | None | $446.68 | $524.81 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $251.19 | Professional | None | $245.47 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | RR · Rental | $24.55 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | UE · Used equipment | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $295.12 | Facility | None | $263.03 | $263.03 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $263.03 | Professional | None | $194.98 | $194.98 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $186.21 Median $416.87 Typical High $691.83 | Professional | None | $186.21 | $416.87 | $691.83 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $275.42 | Facility | None | $213.80 | $213.80 | $275.42 |
United Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $389.05 | Professional | None | $158.49 | $239.88 | $389.05 |
Well Sense Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
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 $104.71 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $104.71 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $41.69 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $31.62 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $20.89 | $26.92 | $26.92 |
Where New Hampshire sits
The same service costs 4.7 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· 33rd of 51
$251
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.