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 $109.65 Median $109.65 Typical High $177.83 | Professional | None | $109.65 | $109.65 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $354.81 | Facility | None | $257.04 | $302.00 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $245.47 | Professional | None | $138.04 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $104.71 Median $138.04 Typical High $165.96 | Professional | None | $104.71 | $138.04 | $165.96 |
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 $54.95 Median $54.95 Typical High $89.13 | Professional | 52 · Reduced service | $54.95 | $54.95 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $35.48 | Professional | 53 · Discontinued | $21.88 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $26.30 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $17.78 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $17.78 |
Where New Hampshire sits
The same service costs 3.3 times more in Alaska than in Indiana. 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· 28th of 51
$166
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.