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 $39.81 Median $39.81 Typical High $66.07 | Professional | None | $39.81 | $39.81 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $125.89 | Facility | None | $93.33 | $109.65 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | RR · Rental | $13.80 | $13.80 | $13.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $87.10 | Professional | None | $50.12 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $60.26 | Professional | None | $33.11 | $50.12 | $60.26 |
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 $19.95 Median $19.95 Typical High $33.11 | Professional | 52 · Reduced service | $19.95 | $19.95 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $13.18 | Professional | 53 · Discontinued | $7.94 | $7.94 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $10.00 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.98 | $3.98 | $6.61 |
Where New Hampshire sits
The same service costs 2.6 times more in Hawaii than in Ohio. 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· 39th of 51
$60.26
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.