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 $316.23 Median $562.34 Typical High $9,772.37 | Facility | None | $316.23 | $562.34 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $562.34 Typical High $1,047.13 | Professional | None | $309.03 | $562.34 | $1,047.13 |
Ambetter Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $257.04 Median $645.65 Typical High $1,380.38 | Professional | None | $257.04 | $645.65 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $776.25 Typical High $1,122.02 | Facility | None | $537.03 | $776.25 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $741.31 Typical High $1,584.89 | Professional | None | $338.84 | $741.31 | $1,584.89 |
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 $398.11 Median $831.76 Typical High $1,778.28 | Professional | None | $398.11 | $831.76 | $1,778.28 |
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 $426.58 Median $794.33 Typical High $1,513.56 | Professional | None | $426.58 | $794.33 | $1,513.56 |
Well Sense Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
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 $229.09 Median $354.81 Typical High $489.78 | Professional | 54 · Surgery only | $229.09 | $354.81 | $489.78 |
Where New Hampshire sits
The same service costs 3.1 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· 14th of 51
$646
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.