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 $70.79 Median $70.79 Typical High $102.33 | Facility | None | $70.79 | $70.79 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $154.88 | Professional | None | $70.79 | $97.72 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $331.13 | Professional | None | $100.00 | $158.49 | $331.13 |
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 $60.26 Median $100.00 Typical High $128.82 | Professional | None | $60.26 | $100.00 | $128.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $181.97 Typical High $251.19 | Professional | 50 · Both sides | $120.23 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $162.18 | Facility | None | $95.50 | $128.82 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $245.47 | Professional | None | $87.10 | $134.90 | $245.47 |
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 $69.18 Median $117.49 Typical High $234.42 | Professional | None | $69.18 | $117.49 | $234.42 |
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 $77.62 Median $117.49 Typical High $208.93 | Professional | None | $77.62 | $117.49 | $208.93 |
Well Sense Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
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 $35.48 Median $40.74 Typical High $51.29 | Professional | 52 · Reduced service | $35.48 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.60 Typical High $20.42 | Professional | 53 · Discontinued | $14.45 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.30 Typical High $15.14 | Professional | 55 · Aftercare only | $10.72 | $12.30 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.32 Typical High $10.23 | Professional | 56 · Pre-op care only | $7.08 | $8.32 | $10.23 |
Where New Hampshire sits
The same service costs 3.7 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
$107
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.