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 $676.08 Median $870.96 Typical High $870.96 | Professional | None | $676.08 | $870.96 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,445.44 | $1,698.24 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | None | $954.99 | $954.99 | $977.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | RR · Rental | $95.50 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | UE · Used equipment | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Facility | None | $954.99 | $954.99 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $707.95 Median $1,348.96 Typical High $2,238.72 | Professional | None | $707.95 | $1,348.96 | $2,238.72 |
United Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $1,258.93 | Professional | None | $512.86 | $776.25 | $1,258.93 |
Well Sense Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $338.84 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $338.84 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $134.90 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $102.33 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $67.61 | $87.10 | $87.10 |
Where New Hampshire sits
The same service costs 2.4 times more in Montana 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· 36th of 51
$955
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.