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 $44.67 Median $44.67 Typical High $70.79 | Professional | None | $44.67 | $44.67 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $141.25 | Facility | None | $104.71 | $123.03 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | UE · Used equipment | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $97.72 | Professional | None | $56.23 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $67.61 | Professional | None | $37.15 | $56.23 | $67.61 |
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 $22.39 Median $22.39 Typical High $35.48 | Professional | 52 · Reduced service | $22.39 | $22.39 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $14.13 | Professional | 53 · Discontinued | $8.91 | $8.91 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $10.72 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $7.08 |
Where New Hampshire sits
The same service costs 2.3 times more in Hawaii than in Utah. 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· 31st of 51
$67.61
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.