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 $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | None | $933.25 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,691.53 | Facility | None | $1,995.26 | $2,344.23 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,148.15 | Professional | None | $1,122.02 | $1,122.02 | $1,148.15 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $912.01 Median $1,862.09 Typical High $3,090.30 | Professional | None | $912.01 | $1,862.09 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,230.27 | $1,318.26 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,737.80 | Professional | None | $707.95 | $1,071.52 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $467.74 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $467.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $141.25 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $93.33 | $120.23 | $120.23 |
Where New Hampshire sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 37th 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.