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 $691.83 Median $794.33 Typical High $794.33 | Professional | None | $691.83 | $794.33 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,548.82 Typical High $1,778.28 | Facility | None | $1,318.26 | $1,548.82 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | UE · Used equipment | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $691.83 Median $1,230.27 Typical High $1,995.26 | Professional | None | $691.83 | $1,230.27 | $1,995.26 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $776.25 | Facility | None | $660.69 | $660.69 | $776.25 |
United Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $1,148.15 | Professional | None | $467.74 | $707.95 | $1,148.15 |
Well Sense Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
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 $346.74 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $346.74 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $141.25 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $104.71 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $69.18 | $79.43 | $79.43 |
Where New Hampshire sits
The same service costs 2.2 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· 31st of 51
$851
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.