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 $173.78 Median $223.87 Typical High $223.87 | Professional | None | $173.78 | $223.87 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $436.52 Typical High $512.86 | Facility | None | $371.54 | $436.52 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | RR · Rental | $18.20 | $18.20 | $18.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | UE · Used equipment | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $208.93 | Facility | None | $186.21 | $186.21 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $186.21 | Professional | None | $138.04 | $138.04 | $186.21 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $151.36 Median $354.81 Typical High $575.44 | Professional | None | $151.36 | $354.81 | $575.44 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $263.03 | Facility | None | $199.53 | $199.53 | $263.03 |
United Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $323.59 | Professional | None | $134.90 | $199.53 | $323.59 |
Well Sense Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
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 $87.10 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $87.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $35.48 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $33.88 Typical High $33.88 | Professional | 55 · Aftercare only | $26.30 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $22.39 Typical High $22.39 | Professional | 56 · Pre-op care only | $17.38 | $22.39 | $22.39 |
Where New Hampshire sits
The same service costs 5.0 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· 31st of 51
$182
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.