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 $1,737.80 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,737.80 | $2,238.72 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $5,011.87 | Facility | None | $3,715.35 | $4,365.16 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $194.98 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,454.71 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,819.70 | $2,454.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,584.89 Median $3,467.37 Typical High $5,754.40 | Professional | None | $1,584.89 | $3,467.37 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,698.24 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,318.26 | $1,995.26 | $3,235.94 |
Well Sense Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
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 $870.96 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $870.96 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $346.74 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $263.03 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $173.78 | $223.87 | $223.87 |
Where New Hampshire sits
The same service costs 2.4 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· 33rd of 51
$1,950
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.