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 $1,318.26 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,318.26 | $1,698.24 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $3,801.89 | Facility | None | $2,818.38 | $3,311.31 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | UE · Used equipment | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Facility | None | $1,659.59 | $1,659.59 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,659.59 | Professional | None | $1,202.26 | $1,202.26 | $1,659.59 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,174.90 Median $2,630.27 Typical High $4,365.16 | Professional | None | $1,174.90 | $2,630.27 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,513.56 | Facility | None | $1,202.26 | $1,202.26 | $1,513.56 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,000.00 | $1,513.56 | $2,454.71 |
Well Sense Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $660.69 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $660.69 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $263.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $199.53 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $131.83 | $169.82 | $169.82 |
Where New Hampshire sits
The same service costs 3.5 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· 35th of 51
$1,380
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.