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 $13.18 Median $27.54 Typical High $8,912.51 | Facility | None | $13.18 | $27.54 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $25.12 Typical High $43.65 | Professional | None | $13.18 | $25.12 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
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 $12.59 Median $30.20 Typical High $50.12 | Professional | None | $12.59 | $30.20 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $100.00 Typical High $151.36 | Facility | None | $66.07 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $36.31 Typical High $81.28 | Professional | None | $15.49 | $36.31 | $81.28 |
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 $19.50 Median $39.81 Typical High $102.33 | Professional | None | $19.50 | $39.81 | $102.33 |
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 $18.62 Median $36.31 Typical High $79.43 | Professional | None | $18.62 | $36.31 | $79.43 |
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 $6.03 Median $12.30 Typical High $18.62 | Professional | 52 · Reduced service | $6.03 | $12.30 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $4.90 Typical High $7.41 | Professional | 53 · Discontinued | $2.45 | $4.90 | $7.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.12 Median $18.62 Typical High $27.54 | Professional | 54 · Surgery only | $9.12 | $18.62 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.82 Median $3.72 Typical High $5.62 | Professional | 55 · Aftercare only | $1.82 | $3.72 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.20 Median $2.45 Typical High $3.72 | Professional | 56 · Pre-op care only | $1.20 | $2.45 | $3.72 |
Where New Hampshire sits
The same service costs 3.5 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· 22nd of 51
$33.11
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.