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 $1,819.70 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,819.70 | $2,344.23 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $4,570.88 Typical High $5,248.07 | Facility | None | $3,890.45 | $4,570.88 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | UE · Used equipment | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,311.31 | Facility | None | $2,951.21 | $2,951.21 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,951.21 | Professional | None | $2,187.76 | $2,187.76 | $2,951.21 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,862.09 Median $3,630.78 Typical High $6,025.60 | Professional | None | $1,862.09 | $3,630.78 | $6,025.60 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,951.21 | Facility | None | $2,041.74 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $3,388.44 | Professional | None | $1,380.38 | $2,089.30 | $3,388.44 |
Well Sense Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
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 $912.01 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $912.01 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $363.08 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $275.42 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $181.97 | $234.42 | $234.42 |
Where New Hampshire sits
The same service costs 2.5 times more in Montana than in Washington, DC. 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
$2,239
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.