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 $245.47 Median $257.04 Typical High $281.84 | Professional | None | $245.47 | $257.04 | $281.84 |
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 $281.84 Median $316.23 Typical High $407.38 | Professional | None | $281.84 | $316.23 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $2,570.40 Typical High $3,548.13 | Facility | None | $537.03 | $2,570.40 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $645.65 | Professional | None | $302.00 | $346.74 | $645.65 |
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 $257.04 Median $354.81 Typical High $676.08 | Professional | None | $257.04 | $354.81 | $676.08 |
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 $251.19 Median $331.13 Typical High $676.08 | Professional | None | $251.19 | $331.13 | $676.08 |
Well Sense Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $125.89 | Facility | None | $79.43 | $79.43 | $125.89 |
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 $123.03 Median $128.82 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $51.29 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $194.98 Typical High $213.80 | Professional | 54 · Surgery only | $186.21 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $38.90 Typical High $42.66 | Professional | 55 · Aftercare only | $37.15 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.70 Typical High $28.18 | Professional | 56 · Pre-op care only | $24.55 | $25.70 | $28.18 |
Where New Hampshire sits
The same service costs 4.6 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· 23rd of 51
$331
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.