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 $181.97 Median $407.38 Typical High $467.74 | Professional | None | $181.97 | $407.38 | $467.74 |
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 $141.25 Median $316.23 Typical High $812.83 | Professional | None | $141.25 | $316.23 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,659.59 Typical High $2,137.96 | Facility | None | $537.03 | $1,659.59 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $467.74 Typical High $1,000.00 | Professional | None | $245.47 | $467.74 | $1,000.00 |
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 $169.82 Median $467.74 Typical High $1,071.52 | Professional | None | $169.82 | $467.74 | $1,071.52 |
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 $181.97 Median $426.58 Typical High $870.96 | Professional | None | $181.97 | $426.58 | $870.96 |
Well Sense Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
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 $89.13 Median $204.17 Typical High $234.42 | Professional | 52 · Reduced service | $89.13 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $81.28 Typical High $93.33 | Professional | 53 · Discontinued | $36.31 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $302.00 Typical High $354.81 | Professional | 54 · Surgery only | $134.90 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $60.26 Typical High $70.79 | Professional | 55 · Aftercare only | $26.92 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $40.74 Typical High $46.77 | Professional | 56 · Pre-op care only | $17.78 | $40.74 | $46.77 |
Where New Hampshire sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 20th of 51
$407
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.