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 $5,370.32 Typical High $22,387.21 | Facility | None | $2,398.83 | $5,370.32 | $22,387.21 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $288.40 Typical High $3,388.44 | Professional | None | $154.88 | $288.40 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $9,332.54 | Facility | None | $5,011.87 | $5,623.41 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $295.12 Typical High $3,090.30 | Professional | None | $144.54 | $295.12 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $7,413.10 Typical High $10,000.00 | Facility | None | $630.96 | $7,413.10 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $707.95 Typical High $7,244.36 | Professional | None | $223.87 | $707.95 | $7,244.36 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,344.23 Median $3,467.37 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,467.37 | $6,918.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $190.55 Median $2,630.27 Typical High $7,943.28 | Professional | None | $190.55 | $2,630.27 | $7,943.28 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,548.13 | $6,918.31 |
United Setting Professional Modifier None Typical Low $234.42 Median $977.24 Typical High $7,244.36 | Professional | None | $234.42 | $977.24 | $7,244.36 |
Well Sense Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
5 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 $77.62 Median $77.62 Typical High $1,380.38 | Professional | 52 · Reduced service | $77.62 | $77.62 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $549.54 | Professional | 53 · Discontinued | $30.90 | $30.90 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $114.82 Typical High $2,041.74 | Professional | 54 · Surgery only | $114.82 | $114.82 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $407.38 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $275.42 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $275.42 |
Where New Hampshire sits
The same service costs 33.1 times more in Alaska than in Kentucky. 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· 43rd of 51
$457
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.