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 $1,819.70 Median $2,398.83 Typical High $9,772.37 | Facility | None | $1,819.70 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $61.66 | Professional | None | $36.31 | $60.26 | $61.66 |
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 $54.95 Median $93.33 Typical High $114.82 | Professional | None | $54.95 | $93.33 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $478.63 Typical High $676.08 | Facility | None | $371.54 | $478.63 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $138.04 | Professional | None | $61.66 | $89.13 | $138.04 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $141.25 | Professional | None | $45.71 | $69.18 | $141.25 |
United Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
United Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $141.25 | Professional | None | $53.70 | $70.79 | $141.25 |
Well Sense Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
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 $18.20 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $18.20 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $12.02 Typical High $12.30 | Professional | 53 · Discontinued | $7.24 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $45.71 Typical High $45.71 | Professional | 54 · Surgery only | $26.92 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $9.12 Typical High $9.33 | Professional | 55 · Aftercare only | $5.37 | $9.12 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $6.03 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.63 | $6.03 | $6.17 |
Where New Hampshire sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 17th of 51
$81.28
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.