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 $2,570.40 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,570.40 | $3,311.31 | $3,311.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $6,456.54 Typical High $7,585.78 | Facility | None | $5,495.41 | $6,456.54 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $295.12 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | UE · Used equipment | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,548.13 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,398.83 Median $5,248.07 Typical High $8,511.38 | Professional | None | $2,398.83 | $5,248.07 | $8,511.38 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,365.16 | Facility | None | $3,235.94 | $3,235.94 | $4,365.16 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,951.21 Typical High $4,786.30 | Professional | None | $1,995.26 | $2,951.21 | $4,786.30 |
Well Sense Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
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 $1,288.25 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,288.25 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $512.86 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $389.05 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $257.04 | $331.13 | $331.13 |
Where New Hampshire sits
The same service costs 4.3 times more in Hawaii than in Pennsylvania. 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
$2,951
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.