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 $128.82 Median $134.90 Typical High $169.82 | Professional | None | $128.82 | $134.90 | $169.82 |
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 $100.00 Median $158.49 Typical High $208.93 | Professional | None | $100.00 | $158.49 | $208.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $204.17 Median $295.12 Typical High $436.52 | Professional | 50 · Both sides | $204.17 | $295.12 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $134.90 Typical High $169.82 | Facility | None | $100.00 | $134.90 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $407.38 | Professional | None | $144.54 | $218.78 | $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 $120.23 Median $190.55 Typical High $363.08 | Professional | None | $120.23 | $190.55 | $363.08 |
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 $147.91 Median $194.98 Typical High $346.74 | Professional | None | $147.91 | $194.98 | $346.74 |
Well Sense Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
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 $67.61 Median $67.61 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $25.12 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $16.98 |
Where New Hampshire sits
The same service costs 4.3 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· 21st of 51
$174
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.