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 $616.60 Median $616.60 Typical High $977.24 | Professional | None | $616.60 | $616.60 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,445.44 | $1,698.24 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | RR · Rental | $229.09 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | UE · Used equipment | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $776.25 Median $1,348.96 Typical High $1,348.96 | Professional | None | $776.25 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $933.25 | Professional | None | $691.83 | $776.25 | $933.25 |
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 $309.03 Median $309.03 Typical High $489.78 | Professional | 52 · Reduced service | $309.03 | $309.03 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $194.98 | Professional | 53 · Discontinued | $123.03 | $123.03 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $147.91 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $97.72 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $97.72 |
Where New Hampshire sits
The same service costs 2.7 times more in Montana than in New Jersey. 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· 39th of 51
$933
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.