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 $83.18 Median $131.83 Typical High $9,772.37 | Facility | None | $83.18 | $131.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $245.47 | Professional | None | $83.18 | $131.83 | $245.47 |
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 $75.86 Median $144.54 Typical High $275.42 | Professional | None | $75.86 | $144.54 | $275.42 |
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 $95.50 Median $186.21 Typical High $371.54 | Professional | None | $95.50 | $186.21 | $371.54 |
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 $114.82 Median $204.17 Typical High $457.09 | Professional | None | $114.82 | $204.17 | $457.09 |
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 $112.20 Median $186.21 Typical High $363.08 | Professional | None | $112.20 | $186.21 | $363.08 |
6 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 $41.69 Median $56.23 Typical High $75.86 | Professional | 52 · Reduced service | $41.69 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $16.60 | $22.39 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $83.18 Typical High $114.82 | Professional | 54 · Surgery only | $63.10 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.60 Typical High $22.91 | Professional | 55 · Aftercare only | $12.59 | $16.60 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $11.22 Typical High $15.14 | Professional | 56 · Pre-op care only | $8.32 | $11.22 | $15.14 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $58.88 Median $77.62 Typical High $107.15 | Professional | 78 · Unplanned return to OR | $58.88 | $77.62 | $107.15 |
Where New Hampshire sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 15th of 51
$162
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.