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 $16.22 Median $20.89 Typical High $85.11 | Professional | None | $16.22 | $20.89 | $85.11 |
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 $13.18 Median $27.54 Typical High $97.72 | Professional | None | $13.18 | $27.54 | $97.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $27.54 Median $41.69 Typical High $63.10 | Professional | 50 · Both sides | $27.54 | $41.69 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $177.83 | Facility | None | $89.13 | $123.03 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $77.62 Typical High $199.53 | Professional | None | $22.91 | $77.62 | $199.53 |
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 $16.22 Median $81.28 Typical High $177.83 | Professional | None | $16.22 | $81.28 | $177.83 |
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 $20.89 Median $77.62 Typical High $177.83 | Professional | None | $20.89 | $77.62 | $177.83 |
Well Sense Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
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 $9.12 Median $10.47 Typical High $42.66 | Professional | 52 · Reduced service | $9.12 | $10.47 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.17 Typical High $16.98 | Professional | 53 · Discontinued | $3.63 | $4.17 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $3.16 Typical High $12.88 | Professional | 55 · Aftercare only | $2.75 | $3.16 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $2.09 Typical High $8.51 | Professional | 56 · Pre-op care only | $1.82 | $2.09 | $8.51 |
Where New Hampshire sits
The same service costs 5.9 times more in Iowa 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· 44th of 51
$35.48
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.