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 $3,388.44 Typical High $14,791.08 | Facility | None | $2,398.83 | $3,388.44 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $281.84 Typical High $398.11 | Professional | None | $269.15 | $281.84 | $398.11 |
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 $208.93 Median $323.59 Typical High $426.58 | Professional | None | $208.93 | $323.59 | $426.58 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $602.56 Typical High $870.96 | Professional | 50 · Both sides | $416.87 | $602.56 | $870.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $173.78 Median $257.04 Typical High $363.08 | Professional | 62 · Two surgeons | $173.78 | $257.04 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $363.08 Typical High $630.96 | Facility | None | $275.42 | $363.08 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $933.25 | Professional | None | $309.03 | $457.09 | $933.25 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $4,677.35 | Facility | None | $2,187.76 | $2,511.89 | $4,677.35 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $776.25 | Professional | None | $245.47 | $416.87 | $776.25 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $4,677.35 | Facility | None | $2,187.76 | $3,162.28 | $4,677.35 |
United Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $758.58 | Professional | None | $281.84 | $436.52 | $758.58 |
Well Sense Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
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 78 · Unplanned return to OR Typical Low $186.21 Median $199.53 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $186.21 | $199.53 | $281.84 |
Where New Hampshire sits
The same service costs 5.0 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· 19th of 51
$389
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.