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 $309.03 Median $398.11 Typical High $398.11 | Professional | None | $309.03 | $398.11 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $758.58 Typical High $891.25 | Facility | None | $645.65 | $758.58 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | None | $323.59 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $363.08 | Facility | None | $331.13 | $331.13 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $331.13 | Professional | None | $239.88 | $239.88 | $331.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $275.42 Median $616.60 Typical High $1,000.00 | Professional | None | $275.42 | $616.60 | $1,000.00 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Facility | None | $218.78 | $218.78 | $263.03 |
United Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $575.44 | Professional | None | $234.42 | $354.81 | $575.44 |
Well Sense Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
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 $154.88 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $154.88 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $61.66 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $45.71 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $30.90 | $39.81 | $39.81 |
Where New Hampshire sits
The same service costs 2.4 times more in Arkansas than in Florida. 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
$331
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.