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 $87.10 Median $181.97 Typical High $204.17 | Professional | None | $87.10 | $181.97 | $204.17 |
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 $69.18 Median $154.88 Typical High $338.84 | Professional | None | $69.18 | $154.88 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $281.84 Typical High $724.44 | Facility | None | $213.80 | $281.84 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $467.74 | Professional | None | $128.82 | $257.04 | $467.74 |
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 $83.18 Median $218.78 Typical High $478.63 | Professional | None | $83.18 | $218.78 | $478.63 |
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 $93.33 Median $204.17 Typical High $416.87 | Professional | None | $93.33 | $204.17 | $416.87 |
Well Sense Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
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 $43.65 Median $85.11 Typical High $102.33 | Professional | 52 · Reduced service | $43.65 | $85.11 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $34.67 Typical High $40.74 | Professional | 53 · Discontinued | $17.38 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $128.82 Typical High $151.36 | Professional | 54 · Surgery only | $66.07 | $128.82 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $25.70 Typical High $30.20 | Professional | 55 · Aftercare only | $13.18 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $16.98 Typical High $20.42 | Professional | 56 · Pre-op care only | $8.71 | $16.98 | $20.42 |
Where New Hampshire sits
The same service costs 3.7 times more in Alaska than in Maryland. 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
$195
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.