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 $4,570.88 Median $5,888.44 Typical High $5,888.44 | Professional | None | $4,570.88 | $5,888.44 | $5,888.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,549.93 Median $11,220.18 Typical High $13,182.57 | Facility | None | $9,549.93 | $11,220.18 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | RR · Rental | $562.34 | $562.34 | $562.34 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,079.46 | Facility | None | $6,606.93 | $6,606.93 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $6,606.93 | Professional | None | $4,897.79 | $4,897.79 | $6,606.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4,570.88 Median $9,120.11 Typical High $14,791.08 | Professional | None | $4,570.88 | $9,120.11 | $14,791.08 |
United Setting Professional Modifier None Typical Low $3,467.37 Median $5,128.61 Typical High $8,511.38 | Professional | None | $3,467.37 | $5,128.61 | $8,511.38 |
Well Sense Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
2 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 55 · Aftercare only Typical Low $676.08 Median $870.96 Typical High $870.96 | Professional | 55 · Aftercare only | $676.08 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | 56 · Pre-op care only | $457.09 | $588.84 | $588.84 |
Where New Hampshire sits
The same service costs 2.3 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· 38th of 51
$5,623
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.