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 $181.97 Median $371.54 Typical High $676.08 | Professional | None | $181.97 | $371.54 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $380.19 Median $1,348.96 Typical High $1,348.96 | Professional | None | $380.19 | $1,348.96 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $407.38 Typical High $870.96 | Professional | None | $154.88 | $407.38 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $537.03 Typical High $2,691.53 | Facility | None | $489.78 | $537.03 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $457.09 Typical High $1,023.29 | Professional | None | $204.17 | $457.09 | $1,023.29 |
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 $239.88 Median $489.78 Typical High $1,096.48 | Professional | None | $239.88 | $489.78 | $1,096.48 |
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 $251.19 Median $478.63 Typical High $954.99 | Professional | None | $251.19 | $478.63 | $954.99 |
1 more rate 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 54 · Surgery only Typical Low $134.90 Median $223.87 Typical High $316.23 | Professional | 54 · Surgery only | $134.90 | $223.87 | $316.23 |
Where New Hampshire sits
The same service costs 3.8 times more in Alaska than in Maryland. 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· 13th of 51
$417
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.