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 $1,479.11 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,479.11 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $4,265.80 | Facility | None | $3,090.30 | $3,630.78 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | None | $1,698.24 | $1,698.24 | $1,737.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | RR · Rental | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | UE · Used equipment | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,949.84 | Facility | None | $1,737.80 | $1,737.80 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,380.38 Median $2,951.21 Typical High $4,786.30 | Professional | None | $1,380.38 | $2,951.21 | $4,786.30 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,445.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,122.02 | $1,659.59 | $2,754.23 |
Well Sense Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
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 $724.44 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $724.44 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $295.12 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $218.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $147.91 | $190.55 | $190.55 |
Where New Hampshire sits
The same service costs 2.7 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· 36th of 51
$1,698
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.