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 $2,398.83 Median $3,090.30 Typical High $3,090.30 | Professional | None | $2,398.83 | $3,090.30 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $5,888.44 Typical High $6,918.31 | Facility | None | $5,128.61 | $5,888.44 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | UE · Used equipment | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,168.69 | Facility | None | $3,715.35 | $3,715.35 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,754.23 | $3,715.35 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,630.27 Median $4,786.30 Typical High $7,762.47 | Professional | None | $2,630.27 | $4,786.30 | $7,762.47 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,754.23 | $4,466.84 |
Well Sense Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
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 $1,202.26 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,202.26 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $616.60 Typical High $616.60 | Professional | 53 · Discontinued | $478.63 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $354.81 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | 56 · Pre-op care only | $239.88 | $309.03 | $309.03 |
Where New Hampshire sits
The same service costs 2.9 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· 33rd of 51
$3,162
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.