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 $91.20 Median $100.00 Typical High $125.89 | Professional | None | $91.20 | $100.00 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $3,467.37 | Facility | None | $1,288.25 | $1,548.82 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $144.54 Typical High $257.04 | Professional | None | $83.18 | $144.54 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $660.69 Typical High $954.99 | Facility | None | $478.63 | $660.69 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $380.19 | Professional | None | $138.04 | $204.17 | $380.19 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $2,691.53 | Facility | None | $660.69 | $776.25 | $2,691.53 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $107.15 Median $194.98 Typical High $426.58 | Professional | None | $107.15 | $194.98 | $426.58 |
United Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $2,691.53 | Facility | None | $660.69 | $851.14 | $2,691.53 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $338.84 | Professional | None | $123.03 | $173.78 | $338.84 |
Well Sense Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
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 $45.71 Median $50.12 Typical High $63.10 | Professional | 52 · Reduced service | $45.71 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $18.62 | $19.95 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $74.13 Typical High $93.33 | Professional | 54 · Surgery only | $69.18 | $74.13 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.79 Typical High $19.05 | Professional | 55 · Aftercare only | $13.80 | $14.79 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $10.00 Typical High $12.59 | Professional | 56 · Pre-op care only | $9.12 | $10.00 | $12.59 |
Where New Hampshire sits
The same service costs 3.5 times more in Alaska than in Indiana. 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· 23rd of 51
$170
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.