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 Facility Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $9,772.37 | Facility | None | $1,819.70 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $63.10 | Professional | None | $26.92 | $41.69 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $3,467.37 | Facility | None | $1,288.25 | $1,548.82 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $52.48 Typical High $91.20 | Professional | None | $24.55 | $52.48 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $100.00 | Facility | None | $53.70 | $72.44 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $66.07 Typical High $144.54 | Professional | None | $28.84 | $66.07 | $144.54 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $37.15 Median $74.13 Typical High $186.21 | Professional | None | $37.15 | $74.13 | $186.21 |
United Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
United Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $134.90 | Professional | None | $36.31 | $69.18 | $134.90 |
Well Sense Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
5 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 $13.18 Median $20.89 Typical High $29.51 | Professional | 52 · Reduced service | $13.18 | $20.89 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $8.32 Typical High $11.75 | Professional | 53 · Discontinued | $5.25 | $8.32 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.95 Median $31.62 Typical High $43.65 | Professional | 54 · Surgery only | $19.95 | $31.62 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $6.31 Typical High $8.71 | Professional | 55 · Aftercare only | $3.98 | $6.31 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $4.17 Typical High $5.89 | Professional | 56 · Pre-op care only | $2.63 | $4.17 | $5.89 |
Where New Hampshire sits
The same service costs 3.3 times more in Alaska 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· 17th of 51
$60.26
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.