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 Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $3,388.44 | Professional | None | $208.93 | $239.88 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $707.95 Typical High $3,019.95 | Professional | None | $173.78 | $707.95 | $3,019.95 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $288.40 Median $1,047.13 Typical High $4,466.84 | Professional | 50 · Both sides | $288.40 | $1,047.13 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $2,041.74 Typical High $5,754.40 | Facility | None | $707.95 | $2,041.74 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $426.58 Typical High $3,630.78 | Professional | None | $229.09 | $426.58 | $3,630.78 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,513.56 | $2,238.72 | $3,890.45 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $199.53 Median $1,778.28 Typical High $3,388.44 | Professional | None | $199.53 | $1,778.28 | $3,388.44 |
Martin's Point Setting Professional Modifier None Typical Low $208.93 Median $239.88 Typical High $3,388.44 | Professional | None | $208.93 | $239.88 | $3,388.44 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,890.45 | Facility | None | $1,513.56 | $2,238.72 | $3,890.45 |
United Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $3,467.37 | Professional | None | $257.04 | $467.74 | $3,467.37 |
2 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 $165.96 Median $165.96 Typical High $1,778.28 | Professional | 54 · Surgery only | $165.96 | $165.96 | $1,778.28 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $165.96 Typical High $1,778.28 | Professional | 54 · Surgery only | $165.96 | $165.96 | $1,778.28 |
Where Maine sits
The same service costs 10.5 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.
Maine· 47th of 51
$1,202
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.