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 $239.88 Median $302.00 Typical High $338.84 | Professional | None | $239.88 | $302.00 | $338.84 |
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 $204.17 Median $354.81 Typical High $467.74 | Professional | None | $204.17 | $354.81 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,258.93 Typical High $1,819.70 | Facility | None | $575.44 | $1,258.93 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $724.44 | Professional | None | $302.00 | $426.58 | $724.44 |
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 $239.88 Median $398.11 Typical High $776.25 | Professional | None | $239.88 | $398.11 | $776.25 |
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 $257.04 Median $398.11 Typical High $660.69 | Professional | None | $257.04 | $398.11 | $660.69 |
Well Sense Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
6 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 $120.23 Median $151.36 Typical High $158.49 | Professional | 52 · Reduced service | $120.23 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $61.66 Typical High $63.10 | Professional | 53 · Discontinued | $47.86 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $229.09 Typical High $239.88 | Professional | 54 · Surgery only | $181.97 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $36.31 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $30.20 Typical High $31.62 | Professional | 56 · Pre-op care only | $23.99 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $213.80 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $169.82 | $213.80 | $223.87 |
Where New Hampshire sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 21st of 51
$355
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.