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 $85.11 Median $120.23 Typical High $169.82 | Professional | None | $85.11 | $120.23 | $169.82 |
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 $79.43 Median $147.91 Typical High $275.42 | Professional | None | $79.43 | $147.91 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $575.44 | Facility | None | $120.23 | $158.49 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $389.05 | Professional | None | $97.72 | $194.98 | $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 $120.23 Median $213.80 Typical High $457.09 | Professional | None | $120.23 | $213.80 | $457.09 |
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 $120.23 Median $199.53 Typical High $371.54 | Professional | None | $120.23 | $199.53 | $371.54 |
Well Sense Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
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 $42.66 Median $53.70 Typical High $74.13 | Professional | 52 · Reduced service | $42.66 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.88 Typical High $29.51 | Professional | 53 · Discontinued | $16.98 | $21.88 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $81.28 Typical High $112.20 | Professional | 54 · Surgery only | $64.57 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $16.22 Typical High $22.39 | Professional | 55 · Aftercare only | $12.88 | $16.22 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $10.96 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.51 | $10.96 | $14.79 |
Where New Hampshire sits
The same service costs 3.2 times more in Alaska than in Florida. 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
$170
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.