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 $199.53 Median $257.04 Typical High $257.04 | Professional | None | $199.53 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $575.44 | Facility | None | $426.58 | $501.19 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | None | $281.84 | $281.84 | $288.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | RR · Rental | $28.18 | $28.18 | $28.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | UE · Used equipment | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $323.59 | Facility | None | $295.12 | $295.12 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $295.12 | Professional | None | $213.80 | $213.80 | $295.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $208.93 Median $398.11 Typical High $660.69 | Professional | None | $208.93 | $398.11 | $660.69 |
United Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $371.54 | Professional | None | $151.36 | $229.09 | $371.54 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
2 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 55 · Aftercare only Typical Low $30.20 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $30.20 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $19.95 | $25.70 | $25.70 |
Where New Hampshire sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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· 29th of 51
$282
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.