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 $2,187.76 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,187.76 | $2,818.38 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $6,309.57 | Facility | None | $4,677.35 | $5,495.41 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Professional | None | $2,398.83 | $2,398.83 | $2,454.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | RR · Rental | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | UE · Used equipment | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,019.95 | Facility | None | $2,754.23 | $2,754.23 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,754.23 | Professional | None | $1,995.26 | $1,995.26 | $2,754.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,995.26 Median $4,365.16 Typical High $7,244.36 | Professional | None | $1,995.26 | $4,365.16 | $7,244.36 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,398.83 | Facility | None | $2,187.76 | $2,187.76 | $2,398.83 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $4,073.80 | Professional | None | $1,659.59 | $2,511.89 | $4,073.80 |
Well Sense Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
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 $1,096.48 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $1,096.48 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $436.52 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $331.13 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $218.78 | $281.84 | $281.84 |
Where New Hampshire sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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· 34th of 51
$2,455
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.