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 $4,677.35 Median $6,025.60 Typical High $6,025.60 | Professional | None | $4,677.35 | $6,025.60 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $11,481.54 Typical High $13,489.63 | Facility | None | $9,772.37 | $11,481.54 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | RR · Rental | $562.34 | $562.34 | $562.34 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,762.47 | Facility | None | $7,244.36 | $7,244.36 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $4,570.88 Median $9,332.54 Typical High $15,135.61 | Professional | None | $4,570.88 | $9,332.54 | $15,135.61 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $5,128.61 | Facility | None | $4,365.16 | $4,365.16 | $5,128.61 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $5,370.32 Typical High $8,709.64 | Professional | None | $3,548.13 | $5,370.32 | $8,709.64 |
Well Sense Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
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 $2,344.23 Median $3,019.95 Typical High $3,019.95 | Professional | 52 · Reduced service | $2,344.23 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $933.25 Median $1,202.26 Typical High $1,202.26 | Professional | 53 · Discontinued | $933.25 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $691.83 Median $891.25 Typical High $891.25 | Professional | 55 · Aftercare only | $691.83 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | 56 · Pre-op care only | $467.74 | $602.56 | $602.56 |
Where New Hampshire sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 35th of 51
$5,623
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.