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 $52.48 Median $60.26 Typical High $74.13 | Professional | None | $52.48 | $60.26 | $74.13 |
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 $69.18 Typical High $85.11 | Professional | None | $38.02 | $69.18 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $100.00 | Facility | None | $54.95 | $75.86 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $177.83 | Professional | None | $61.66 | $97.72 | $177.83 |
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 $83.18 Typical High $162.18 | Professional | None | $45.71 | $83.18 | $162.18 |
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 $85.11 Typical High $147.91 | Professional | None | $56.23 | $85.11 | $147.91 |
Well Sense Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
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 $26.30 Median $29.51 Typical High $37.15 | Professional | 52 · Reduced service | $26.30 | $29.51 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.75 Typical High $14.79 | Professional | 53 · Discontinued | $10.47 | $11.75 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.91 Typical High $11.22 | Professional | 55 · Aftercare only | $7.76 | $8.91 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.89 Typical High $7.41 | Professional | 56 · Pre-op care only | $5.25 | $5.89 | $7.41 |
Where New Hampshire sits
The same service costs 3.5 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
$74.13
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.