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 Facility Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $11,481.54 | Facility | None | $2,398.83 | $2,754.23 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,071.52 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $11,220.18 Typical High $18,197.01 | Facility | None | $8,912.51 | $11,220.18 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,318.26 | $2,041.74 | $2,884.03 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,995.26 Median $3,019.95 Typical High $4,265.80 | Professional | 50 · Both sides | $1,995.26 | $3,019.95 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $7,079.46 Typical High $8,912.51 | Facility | None | $630.96 | $7,079.46 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,584.89 Typical High $3,162.28 | Professional | None | $1,318.26 | $1,584.89 | $3,162.28 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $7,762.47 | Facility | None | $2,691.53 | $3,890.45 | $7,762.47 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $3,162.28 | Professional | None | $1,071.52 | $1,584.89 | $3,162.28 |
United Setting Facility Modifier None Typical Low $2,691.53 Median $4,786.30 Typical High $7,762.47 | Facility | None | $2,691.53 | $4,786.30 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,630.27 | Professional | None | $1,202.26 | $1,479.11 | $2,630.27 |
Well Sense Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 54 · Surgery only Typical Low $812.83 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $812.83 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $162.18 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $758.58 | $851.14 | $851.14 |
Where New Hampshire sits
The same service costs 7.6 times more in Alaska than in Texas. 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
$1,660
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.