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 $2,290.87 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $5,623.41 Typical High $6,606.93 | Facility | None | $4,897.79 | $5,623.41 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,754.23 | Professional | None | $2,691.53 | $2,691.53 | $2,754.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,090.30 | Facility | None | $2,754.23 | $2,754.23 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,754.23 | Professional | None | $2,041.74 | $2,041.74 | $2,754.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2,238.72 Median $4,570.88 Typical High $7,413.10 | Professional | None | $2,238.72 | $4,570.88 | $7,413.10 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Facility | None | $2,454.71 | $2,454.71 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $4,265.80 | Professional | None | $1,737.80 | $2,630.27 | $4,265.80 |
Well Sense Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
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 $1,148.15 Median $1,479.11 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,148.15 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $457.09 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $338.84 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $229.09 | $295.12 | $295.12 |
Where New Hampshire sits
The same service costs 2.8 times more in Wyoming 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· 39th of 51
$2,692
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.