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 $2,398.83 Typical High $9,772.37 | Facility | None | $2,398.83 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $562.34 | Professional | None | $177.83 | $309.03 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $3,890.45 | Facility | None | $1,513.56 | $1,737.80 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $281.84 Typical High $512.86 | Professional | None | $144.54 | $281.84 | $512.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $338.84 Median $467.74 Typical High $912.01 | Professional | 50 · Both sides | $338.84 | $467.74 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,621.81 Typical High $2,041.74 | Facility | None | $537.03 | $1,621.81 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $380.19 Typical High $758.58 | Professional | None | $223.87 | $380.19 | $758.58 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $3,715.35 | Facility | None | $1,174.90 | $1,288.25 | $3,715.35 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $190.55 Median $346.74 Typical High $851.14 | Professional | None | $190.55 | $346.74 | $851.14 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $3,715.35 | Facility | None | $1,122.02 | $1,258.93 | $3,715.35 |
United Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $660.69 | Professional | None | $229.09 | $338.84 | $660.69 |
Well Sense Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
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 $89.13 Median $102.33 Typical High $151.36 | Professional | 52 · Reduced service | $89.13 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $40.74 Typical High $61.66 | Professional | 53 · Discontinued | $35.48 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $154.88 Typical High $229.09 | Professional | 54 · Surgery only | $134.90 | $154.88 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $30.90 Typical High $45.71 | Professional | 55 · Aftercare only | $26.92 | $30.90 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $20.42 Typical High $30.90 | Professional | 56 · Pre-op care only | $17.78 | $20.42 | $30.90 |
Where New Hampshire sits
The same service costs 3.1 times more in Alaska than in New York. 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· 26th of 51
$331
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.