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 $1,659.59 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,659.59 | $1,949.84 | $1,949.84 |
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 $2,041.74 Median $3,162.28 Typical High $4,466.84 | Professional | None | $2,041.74 | $3,162.28 | $4,466.84 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $4,677.35 Typical High $6,760.83 | Professional | 50 · Both sides | $3,090.30 | $4,677.35 | $6,760.83 |
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 $2,041.74 Median $2,454.71 Typical High $5,011.87 | Professional | None | $2,041.74 | $2,454.71 | $5,011.87 |
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 $1,659.59 Median $2,454.71 Typical High $4,786.30 | Professional | None | $1,659.59 | $2,454.71 | $4,786.30 |
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 $1,949.84 Median $2,344.23 Typical High $4,168.69 | Professional | None | $1,949.84 | $2,344.23 | $4,168.69 |
Well Sense Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $1,230.27 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,230.27 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $245.47 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,148.15 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $1,148.15 | $1,348.96 | $1,348.96 |
Where New Hampshire sits
The same service costs 7.8 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· 17th of 51
$2,630
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.