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 $53.70 Median $69.18 Typical High $69.18 | Professional | None | $53.70 | $69.18 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $134.90 Typical High $154.88 | Facility | None | $114.82 | $134.90 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $33.11 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | UE · Used equipment | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $107.15 | Facility | None | $100.00 | $100.00 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $56.23 Median $107.15 Typical High $177.83 | Professional | None | $56.23 | $107.15 | $177.83 |
United Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $100.00 | Professional | None | $40.74 | $61.66 | $100.00 |
Well Sense Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
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 $26.92 Median $34.67 Typical High $34.67 | Professional | 52 · Reduced service | $26.92 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $10.72 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $8.13 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.92 Typical High $6.92 | Professional | 56 · Pre-op care only | $5.37 | $6.92 | $6.92 |
Where New Hampshire sits
The same service costs 2.4 times more in Indiana than in Kentucky. 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· 15th of 51
$107
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.