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 $58.88 Median $58.88 Typical High $93.33 | Professional | None | $58.88 | $58.88 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $162.18 Typical High $186.21 | Facility | None | $138.04 | $162.18 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | RR · Rental | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | UE · Used equipment | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $74.13 Median $128.82 Typical High $128.82 | Professional | None | $74.13 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $89.13 | Professional | None | $63.10 | $74.13 | $89.13 |
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 $29.51 Median $29.51 Typical High $46.77 | Professional | 52 · Reduced service | $29.51 | $29.51 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $18.62 | Professional | 53 · Discontinued | $11.75 | $11.75 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $14.13 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $9.33 |
Where New Hampshire sits
The same service costs 2.5 times more in Minnesota 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· 36th of 51
$89.13
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.