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 $2,398.83 Median $2,398.83 Typical High $9,772.37 | Facility | None | $2,398.83 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $457.09 | Professional | None | $302.00 | $389.05 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $3,890.45 | Facility | None | $1,513.56 | $1,737.80 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $389.05 Typical High $524.81 | Professional | None | $239.88 | $389.05 | $524.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $741.31 Typical High $977.24 | Professional | 50 · Both sides | $489.78 | $741.31 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $478.63 Typical High $676.08 | Facility | None | $363.08 | $478.63 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $1,071.52 | Professional | None | $354.81 | $562.34 | $1,071.52 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $4,265.80 | Facility | None | $1,698.24 | $1,949.84 | $4,265.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $281.84 Median $489.78 Typical High $954.99 | Professional | None | $281.84 | $489.78 | $954.99 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $4,265.80 | Facility | None | $1,698.24 | $2,089.30 | $4,265.80 |
United Setting Professional Modifier None Typical Low $331.13 Median $512.86 Typical High $933.25 | Professional | None | $331.13 | $512.86 | $933.25 |
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 |
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 $151.36 Median $169.82 Typical High $229.09 | Professional | 52 · Reduced service | $151.36 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $91.20 | Professional | 53 · Discontinued | $60.26 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $257.04 Typical High $338.84 | Professional | 54 · Surgery only | $229.09 | $257.04 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $51.29 Typical High $67.61 | Professional | 55 · Aftercare only | $45.71 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $34.67 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.20 | $34.67 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $239.88 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $213.80 | $239.88 | $316.23 |
Where New Hampshire sits
The same service costs 4.3 times more in Alaska than in Texas. 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· 21st of 51
$447
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.