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 $158.49 Median $204.17 Typical High $204.17 | Professional | None | $158.49 | $204.17 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $457.09 | Facility | None | $338.84 | $398.11 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | None | $169.82 | $169.82 | $177.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | RR · Rental | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | UE · Used equipment | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Facility | None | $173.78 | $173.78 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $141.25 Median $316.23 Typical High $524.81 | Professional | None | $141.25 | $316.23 | $524.81 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $229.09 | Facility | None | $186.21 | $186.21 | $229.09 |
United Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $295.12 | Professional | None | $120.23 | $181.97 | $295.12 |
Well Sense Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
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 $79.43 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $79.43 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $31.62 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $30.90 Typical High $30.90 | Professional | 55 · Aftercare only | $23.99 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $20.42 Typical High $20.42 | Professional | 56 · Pre-op care only | $15.85 | $20.42 | $20.42 |
Where New Hampshire sits
The same service costs 4.0 times more in Hawaii than in Florida. 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· 32nd of 51
$178
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.