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 $25.12 Median $25.12 Typical High $42.66 | Professional | None | $25.12 | $25.12 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $69.18 Typical High $79.43 | Facility | None | $58.88 | $69.18 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $8.51 | $8.51 | $8.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | UE · Used equipment | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $54.95 | Professional | None | $31.62 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $20.89 Median $31.62 Typical High $38.02 | Professional | None | $20.89 | $31.62 | $38.02 |
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 $12.59 Median $12.59 Typical High $21.38 | Professional | 52 · Reduced service | $12.59 | $12.59 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $8.71 | Professional | 53 · Discontinued | $5.01 | $5.01 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $6.46 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $4.27 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $4.27 |
Where New Hampshire sits
The same service costs 4.2 times more in Minnesota 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· 41st of 51
$38.02
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.