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 $1,819.70 Median $2,398.83 Typical High $9,772.37 | Facility | None | $1,819.70 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $128.82 Typical High $154.88 | Professional | None | $112.20 | $128.82 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
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 $91.20 Median $151.36 Typical High $199.53 | Professional | None | $91.20 | $151.36 | $199.53 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $186.21 Median $281.84 Typical High $389.05 | Professional | 50 · Both sides | $186.21 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $229.09 | Facility | None | $100.00 | $181.97 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $389.05 | Professional | None | $138.04 | $208.93 | $389.05 |
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 $109.65 Median $181.97 Typical High $354.81 | Professional | None | $109.65 | $181.97 | $354.81 |
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 $128.82 Median $181.97 Typical High $331.13 | Professional | None | $128.82 | $181.97 | $331.13 |
Well Sense Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
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 $58.88 Median $63.10 Typical High $77.62 | Professional | 52 · Reduced service | $58.88 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $30.90 | Professional | 53 · Discontinued | $23.44 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.05 Typical High $23.44 | Professional | 55 · Aftercare only | $17.38 | $19.05 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.59 Typical High $15.49 | Professional | 56 · Pre-op care only | $11.75 | $12.59 | $15.49 |
Where New Hampshire sits
The same service costs 3.7 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· 19th of 51
$162
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.