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 $19,952.62 Median $25,703.96 Typical High $25,703.96 | Professional | None | $19,952.62 | $25,703.96 | $25,703.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $41,686.94 Median $48,977.88 Typical High $57,543.99 | Facility | None | $41,686.94 | $48,977.88 | $57,543.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Professional | None | $23,988.33 | $23,988.33 | $23,988.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | RR · Rental | $2,398.83 | $2,398.83 | $2,398.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | UE · Used equipment | $17,782.79 | $17,782.79 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $33,884.42 | Facility | None | $30,199.52 | $30,199.52 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $30,199.52 | Professional | None | $22,387.21 | $22,387.21 | $30,199.52 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19,498.45 Median $39,810.72 Typical High $64,565.42 | Professional | None | $19,498.45 | $39,810.72 | $64,565.42 |
United Setting Professional Modifier None Typical Low $15,135.61 Median $22,387.21 Typical High $36,307.81 | Professional | None | $15,135.61 | $22,387.21 | $36,307.81 |
Well Sense Setting Facility Modifier None Typical Low $44,668.36 Median $44,668.36 Typical High $44,668.36 | Facility | None | $44,668.36 | $44,668.36 | $44,668.36 |
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 $9,772.37 Median $12,589.25 Typical High $12,589.25 | Professional | 52 · Reduced service | $9,772.37 | $12,589.25 | $12,589.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3,981.07 Median $5,128.61 Typical High $5,128.61 | Professional | 53 · Discontinued | $3,981.07 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2,951.21 Median $3,801.89 Typical High $3,801.89 | Professional | 55 · Aftercare only | $2,951.21 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,995.26 Median $2,570.40 Typical High $2,570.40 | Professional | 56 · Pre-op care only | $1,995.26 | $2,570.40 | $2,570.40 |
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· 36th of 51
$23,988
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.