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 $281.84 Median $363.08 Typical High $363.08 | Professional | None | $281.84 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $812.83 | Facility | None | $602.56 | $707.95 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | RR · Rental | $31.62 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $407.38 | Facility | None | $363.08 | $363.08 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | None | $263.03 | $263.03 | $363.08 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $257.04 Median $562.34 Typical High $933.25 | Professional | None | $257.04 | $562.34 | $933.25 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Facility | None | $346.74 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $213.80 Median $323.59 Typical High $524.81 | Professional | None | $213.80 | $323.59 | $524.81 |
Well Sense Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
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 $141.25 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $141.25 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $56.23 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $42.66 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $28.18 | $36.31 | $36.31 |
Where New Hampshire sits
The same service costs 3.7 times more in Hawaii 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
$316
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.