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 $53.70 Median $69.18 Typical High $147.91 | Professional | None | $53.70 | $69.18 | $147.91 |
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 $46.77 Median $138.04 Typical High $234.42 | Professional | None | $46.77 | $138.04 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $724.44 | Facility | None | $173.78 | $229.09 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $165.96 Typical High $389.05 | Professional | None | $60.26 | $165.96 | $389.05 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $2,691.53 | Facility | None | $660.69 | $776.25 | $2,691.53 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $75.86 Median $173.78 Typical High $478.63 | Professional | None | $75.86 | $173.78 | $478.63 |
United Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $2,691.53 | Facility | None | $660.69 | $851.14 | $2,691.53 |
United Setting Professional Modifier None Typical Low $77.62 Median $162.18 Typical High $363.08 | Professional | None | $77.62 | $162.18 | $363.08 |
Well Sense Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
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 $26.92 Median $34.67 Typical High $72.44 | Professional | 52 · Reduced service | $26.92 | $34.67 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $13.80 Typical High $28.84 | Professional | 53 · Discontinued | $10.72 | $13.80 | $28.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $52.48 Typical High $109.65 | Professional | 54 · Surgery only | $40.74 | $52.48 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $10.47 Typical High $21.88 | Professional | 55 · Aftercare only | $8.13 | $10.47 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.92 Typical High $14.45 | Professional | 56 · Pre-op care only | $5.37 | $6.92 | $14.45 |
Where New Hampshire sits
The same service costs 2.6 times more in Alaska than in Montana. 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· 19th of 51
$155
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.