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 $1,949.84 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,949.84 | $2,511.89 | $2,511.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $4,786.30 Typical High $5,623.41 | Facility | None | $4,168.69 | $4,786.30 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,570.40 | Professional | None | $2,511.89 | $2,511.89 | $2,570.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | RR · Rental | $251.19 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | UE · Used equipment | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,715.35 | Facility | None | $3,388.44 | $3,388.44 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,454.71 | $3,388.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,041.74 Median $3,890.45 Typical High $6,309.57 | Professional | None | $2,041.74 | $3,890.45 | $6,309.57 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,238.72 Typical High $3,630.78 | Professional | None | $1,479.11 | $2,238.72 | $3,630.78 |
Well Sense Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
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 $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $977.24 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $389.05 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $288.40 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $194.98 | $251.19 | $251.19 |
Where New Hampshire sits
The same service costs 2.1 times more in Montana than in South Carolina. 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· 31st of 51
$2,512
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.