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 $120.23 Median $165.96 Typical High $190.55 | Professional | None | $120.23 | $165.96 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $6,309.57 | Facility | None | $3,467.37 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $218.78 Typical High $416.87 | Professional | None | $112.20 | $218.78 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,951.21 Typical High $4,073.80 | Facility | None | $575.44 | $2,951.21 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $575.44 | Professional | None | $181.97 | $302.00 | $575.44 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $4,265.80 | Facility | None | $1,698.24 | $1,949.84 | $4,265.80 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $707.95 | Professional | None | $147.91 | $288.40 | $707.95 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $4,265.80 | Facility | None | $1,698.24 | $2,089.30 | $4,265.80 |
United Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $562.34 | Professional | None | $173.78 | $288.40 | $562.34 |
Well Sense Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $58.88 Median $83.18 Typical High $95.50 | Professional | 52 · Reduced service | $58.88 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $33.11 Typical High $38.02 | Professional | 53 · Discontinued | $23.99 | $33.11 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $123.03 Typical High $144.54 | Professional | 54 · Surgery only | $89.13 | $123.03 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $24.55 Typical High $28.84 | Professional | 55 · Aftercare only | $17.78 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $16.60 Typical High $19.05 | Professional | 56 · Pre-op care only | $12.02 | $16.60 | $19.05 |
Where New Hampshire sits
The same service costs 3.7 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· 24th of 51
$263
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.