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 $851.14 Median $1,096.48 Typical High $1,096.48 | Professional | None | $851.14 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,454.71 | Facility | None | $1,819.70 | $2,137.96 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Facility | None | $1,584.89 | $1,584.89 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,148.15 | $1,584.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $2,818.38 | Professional | None | $933.25 | $1,698.24 | $2,818.38 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,071.52 | Facility | None | $794.33 | $794.33 | $1,071.52 |
United Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,584.89 | Professional | None | $645.65 | $977.24 | $1,584.89 |
Well Sense Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
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 $426.58 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $426.58 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $169.82 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $128.82 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $85.11 | $109.65 | $109.65 |
Where New Hampshire sits
The same service costs 2.3 times more in Wisconsin 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· 41st of 51
$1,148
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.