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 $158.49 Median $281.84 Typical High $2,398.83 | Professional | None | $158.49 | $281.84 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,912.51 Median $10,000.00 Typical High $18,197.01 | Facility | None | $8,912.51 | $10,000.00 | $18,197.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $380.19 Typical High $2,454.71 | Professional | None | $134.90 | $380.19 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $562.34 Typical High $4,677.35 | Professional | 50 · Both sides | $316.23 | $562.34 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $5,888.44 Typical High $7,413.10 | Facility | None | $1,659.59 | $5,888.44 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $660.69 Typical High $4,786.30 | Professional | None | $218.78 | $660.69 | $4,786.30 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,187.76 Median $2,511.89 Typical High $4,466.84 | Facility | None | $2,187.76 | $2,511.89 | $4,466.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $177.83 Median $1,737.80 Typical High $5,128.61 | Professional | None | $177.83 | $1,737.80 | $5,128.61 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $4,466.84 | Facility | None | $2,187.76 | $3,162.28 | $4,466.84 |
United Setting Professional Modifier None Typical Low $213.80 Median $891.25 Typical High $4,466.84 | Professional | None | $213.80 | $891.25 | $4,466.84 |
Well Sense Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
1 more rate 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 $117.49 Median $117.49 Typical High $1,445.44 | Professional | 54 · Surgery only | $117.49 | $117.49 | $1,445.44 |
Where New Hampshire sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 48th of 51
$933
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.