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 Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $169.82 | Professional | None | $77.62 | $109.65 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
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 $66.07 Median $109.65 Typical High $141.25 | Professional | None | $66.07 | $109.65 | $141.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $131.83 Median $199.53 Typical High $269.15 | Professional | 50 · Both sides | $131.83 | $199.53 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $141.25 Typical High $177.83 | Facility | None | $100.00 | $141.25 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $269.15 | Professional | None | $97.72 | $147.91 | $269.15 |
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 $75.86 Median $128.82 Typical High $263.03 | Professional | None | $75.86 | $128.82 | $263.03 |
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 $87.10 Median $128.82 Typical High $229.09 | Professional | None | $87.10 | $128.82 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
4 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 $38.90 Median $45.71 Typical High $54.95 | Professional | 52 · Reduced service | $38.90 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.20 Typical High $21.88 | Professional | 53 · Discontinued | $15.85 | $18.20 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $13.49 Typical High $16.22 | Professional | 55 · Aftercare only | $11.75 | $13.49 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $9.12 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.76 | $9.12 | $10.96 |
Where New Hampshire sits
The same service costs 3.6 times more in Alaska than in Kentucky. 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· 18th of 51
$117
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.