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 $40.74 Median $58.88 Typical High $107.15 | Professional | None | $40.74 | $58.88 | $107.15 |
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 $41.69 Median $87.10 Typical High $151.36 | Professional | None | $41.69 | $87.10 | $151.36 |
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 $48.98 Median $104.71 Typical High $194.98 | Professional | None | $48.98 | $104.71 | $194.98 |
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 $60.26 Median $112.20 Typical High $281.84 | Professional | None | $60.26 | $112.20 | $281.84 |
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 $58.88 Median $97.72 Typical High $181.97 | Professional | None | $58.88 | $97.72 | $181.97 |
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 $20.42 Median $26.30 Typical High $38.02 | Professional | 52 · Reduced service | $20.42 | $26.30 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.47 Typical High $15.14 | Professional | 53 · Discontinued | $8.13 | $10.47 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.76 Typical High $11.22 | Professional | 55 · Aftercare only | $6.17 | $7.76 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.25 Typical High $7.59 | Professional | 56 · Pre-op care only | $4.07 | $5.25 | $7.59 |
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· 14th of 51
$91.20
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.