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 $38.02 Median $48.98 Typical High $58.88 | Professional | None | $38.02 | $48.98 | $58.88 |
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 $31.62 Median $60.26 Typical High $75.86 | Professional | None | $31.62 | $60.26 | $75.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $63.10 Median $95.50 Typical High $141.25 | Professional | 50 · Both sides | $63.10 | $95.50 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $100.00 Typical High $151.36 | Facility | None | $66.07 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $144.54 | Professional | None | $50.12 | $83.18 | $144.54 |
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 $36.31 Median $69.18 Typical High $141.25 | Professional | None | $36.31 | $69.18 | $141.25 |
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 $38.90 Median $69.18 Typical High $123.03 | Professional | None | $38.90 | $69.18 | $123.03 |
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 $19.05 Median $24.55 Typical High $29.51 | Professional | 52 · Reduced service | $19.05 | $24.55 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.77 Typical High $11.75 | Professional | 53 · Discontinued | $7.76 | $9.77 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $7.24 Typical High $8.91 | Professional | 55 · Aftercare only | $5.75 | $7.24 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.90 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.80 | $4.90 | $5.89 |
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· 17th of 51
$61.66
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.