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 $371.54 Median $446.68 Typical High $446.68 | Professional | None | $371.54 | $446.68 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $4,677.35 Typical High $6,309.57 | Facility | None | $3,467.37 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $812.83 | Professional | None | $398.11 | $645.65 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,698.24 Typical High $2,187.76 | Facility | None | $575.44 | $1,698.24 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $977.24 | Professional | None | $446.68 | $645.65 | $977.24 |
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 $338.84 Median $512.86 Typical High $1,000.00 | Professional | None | $338.84 | $512.86 | $1,000.00 |
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 $380.19 Median $501.19 Typical High $1,000.00 | Professional | None | $380.19 | $501.19 | $1,000.00 |
Well Sense Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
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 $181.97 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $181.97 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $74.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $275.42 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $54.95 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $36.31 | $44.67 | $44.67 |
Where New Hampshire sits
The same service costs 4.8 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· 17th of 51
$575
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.