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 $21.38 Median $21.38 Typical High $34.67 | Professional | None | $21.38 | $21.38 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $67.61 | Facility | None | $50.12 | $57.54 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | RR · Rental | $7.24 | $7.24 | $7.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | UE · Used equipment | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $26.92 Median $46.77 Typical High $46.77 | Professional | None | $26.92 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $17.78 Median $26.92 Typical High $32.36 | Professional | None | $17.78 | $26.92 | $32.36 |
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 $10.72 Median $10.72 Typical High $17.38 | Professional | 52 · Reduced service | $10.72 | $10.72 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $6.92 | Professional | 53 · Discontinued | $4.27 | $4.27 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.16 Typical High $5.13 | Professional | 55 · Aftercare only | $3.16 | $3.16 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $2.14 Typical High $3.47 | Professional | 56 · Pre-op care only | $2.14 | $2.14 | $3.47 |
Where New Hampshire sits
The same service costs 3.9 times more in Montana than in Alaska. 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· 38th of 51
$32.36
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.