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 $89.13 Median $89.13 Typical High $114.82 | Professional | None | $89.13 | $89.13 | $114.82 |
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 $67.61 Median $120.23 Typical High $147.91 | Professional | None | $67.61 | $120.23 | $147.91 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $208.93 Typical High $302.00 | Professional | 50 · Both sides | $138.04 | $208.93 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $165.96 | Facility | None | $97.72 | $131.83 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $162.18 Typical High $309.03 | Professional | None | $107.15 | $162.18 | $309.03 |
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 $81.28 Median $141.25 Typical High $281.84 | Professional | None | $81.28 | $141.25 | $281.84 |
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 $95.50 Median $141.25 Typical High $234.42 | Professional | None | $95.50 | $141.25 | $234.42 |
Well Sense Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
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 $44.67 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $17.38 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $17.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $11.48 |
Where New Hampshire sits
The same service costs 3.8 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· 20th of 51
$123
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.