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 $123.03 Median $131.83 Typical High $162.18 | Professional | None | $123.03 | $131.83 | $162.18 |
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 $97.72 Median $158.49 Typical High $208.93 | Professional | None | $97.72 | $158.49 | $208.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $302.00 Typical High $416.87 | Professional | 50 · Both sides | $194.98 | $302.00 | $416.87 |
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 $147.91 Median $213.80 Typical High $407.38 | Professional | None | $147.91 | $213.80 | $407.38 |
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 $114.82 Median $190.55 Typical High $371.54 | Professional | None | $114.82 | $190.55 | $371.54 |
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 $138.04 Median $190.55 Typical High $338.84 | Professional | None | $138.04 | $190.55 | $338.84 |
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 $61.66 Median $66.07 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.95 Typical High $23.99 | Professional | 55 · Aftercare only | $18.62 | $19.95 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $13.18 Typical High $16.22 | Professional | 56 · Pre-op care only | $12.30 | $13.18 | $16.22 |
Where New Hampshire sits
The same service costs 4.0 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· 21st of 51
$170
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.