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 $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | None | $870.96 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,511.89 | Facility | None | $1,862.09 | $2,187.76 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,318.26 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $2,818.38 | Professional | None | $912.01 | $1,737.80 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,659.59 | Professional | None | $660.69 | $1,000.00 | $1,659.59 |
Well Sense Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
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 $436.52 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $436.52 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $173.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $128.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $87.10 | $112.20 | $112.20 |
Where New Hampshire sits
The same service costs 3.0 times more in Kansas 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· 34th of 51
$1,122
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.