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 $630.96 Median $812.83 Typical High $812.83 | Professional | None | $630.96 | $812.83 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,348.96 | $1,584.89 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $912.01 | Professional | None | $870.96 | $870.96 | $912.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $977.24 | Facility | None | $912.01 | $912.01 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $707.95 Median $1,258.93 Typical High $2,089.30 | Professional | None | $707.95 | $1,258.93 | $2,089.30 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
United Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $1,174.90 | Professional | None | $478.63 | $724.44 | $1,174.90 |
Well Sense Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
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 $316.23 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $316.23 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $123.03 Typical High $123.03 | Professional | 55 · Aftercare only | $95.50 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $63.10 | $81.28 | $81.28 |
Where New Hampshire sits
The same service costs 3.2 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· 39th of 51
$871
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.