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 $72.44 Median $75.86 Typical High $107.15 | Professional | None | $72.44 | $75.86 | $107.15 |
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 $67.61 Median $117.49 Typical High $147.91 | Professional | None | $67.61 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $190.55 | Facility | None | $100.00 | $151.36 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $281.84 | Professional | None | $95.50 | $154.88 | $281.84 |
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 $74.13 Median $134.90 Typical High $269.15 | Professional | None | $74.13 | $134.90 | $269.15 |
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 $79.43 Median $131.83 Typical High $208.93 | Professional | None | $79.43 | $131.83 | $208.93 |
Well Sense Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
5 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 $36.31 Median $38.02 Typical High $53.70 | Professional | 52 · Reduced service | $36.31 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $21.38 | Professional | 53 · Discontinued | $14.45 | $15.14 | $21.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $57.54 Typical High $79.43 | Professional | 54 · Surgery only | $53.70 | $57.54 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $11.48 Typical High $15.85 | Professional | 55 · Aftercare only | $10.72 | $11.48 | $15.85 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.59 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.24 | $7.59 | $10.72 |
Where New Hampshire sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$120
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.