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 $50.12 Median $81.28 Typical High $93.33 | Professional | None | $50.12 | $81.28 | $93.33 |
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 $38.02 Median $79.43 Typical High $125.89 | Professional | None | $38.02 | $79.43 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $173.78 | Facility | None | $100.00 | $138.04 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $131.83 Typical High $218.78 | Professional | None | $63.10 | $131.83 | $218.78 |
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 $45.71 Median $107.15 Typical High $234.42 | Professional | None | $45.71 | $107.15 | $234.42 |
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 $56.23 Median $100.00 Typical High $194.98 | Professional | None | $56.23 | $100.00 | $194.98 |
Well Sense Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
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 $25.12 Median $39.81 Typical High $46.77 | Professional | 52 · Reduced service | $25.12 | $39.81 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $16.22 Typical High $18.62 | Professional | 53 · Discontinued | $10.00 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $12.02 Typical High $14.13 | Professional | 55 · Aftercare only | $7.59 | $12.02 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $8.13 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.01 | $8.13 | $9.33 |
Where New Hampshire sits
The same service costs 3.9 times more in Alaska than in Virginia. 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
$89.13
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.