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 $112.20 Median $181.97 Typical High $257.04 | Professional | None | $112.20 | $181.97 | $257.04 |
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 $104.71 Median $263.03 Typical High $446.68 | Professional | None | $104.71 | $263.03 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,621.81 Typical High $2,089.30 | Facility | None | $575.44 | $1,621.81 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $354.81 Typical High $707.95 | Professional | None | $169.82 | $354.81 | $707.95 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $3,090.30 | Facility | None | $1,174.90 | $1,288.25 | $3,090.30 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $134.90 Median $323.59 Typical High $851.14 | Professional | None | $134.90 | $323.59 | $851.14 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $3,090.30 | Facility | None | $1,122.02 | $1,258.93 | $3,090.30 |
United Setting Professional Modifier None Typical Low $162.18 Median $309.03 Typical High $660.69 | Professional | None | $162.18 | $309.03 | $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 $56.23 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $56.23 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $36.31 Typical High $41.69 | Professional | 53 · Discontinued | $22.39 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $134.90 Typical High $154.88 | Professional | 54 · Surgery only | $85.11 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $26.92 Typical High $30.90 | Professional | 55 · Aftercare only | $16.98 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $18.20 Typical High $20.89 | Professional | 56 · Pre-op care only | $11.22 | $18.20 | $20.89 |
Where New Hampshire sits
The same service costs 3.9 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· 30th of 51
$275
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.