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 $389.05 Median $501.19 Typical High $501.19 | Professional | None | $389.05 | $501.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $977.24 Typical High $1,122.02 | Facility | None | $831.76 | $977.24 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $616.60 Typical High $616.60 | Professional | None | $602.56 | $616.60 | $616.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $758.58 | Facility | None | $707.95 | $707.95 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $398.11 Median $776.25 Typical High $1,288.25 | Professional | None | $398.11 | $776.25 | $1,288.25 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $724.44 | Professional | None | $295.12 | $446.68 | $724.44 |
Well Sense Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
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 $194.98 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $194.98 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $77.62 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $58.88 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $38.90 | $50.12 | $50.12 |
Where New Hampshire sits
The same service costs 2.0 times more in Iowa than in Florida. 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· 27th of 51
$603
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.