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 $120.23 Median $234.42 Typical High $251.19 | Professional | None | $120.23 | $234.42 | $251.19 |
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 $102.33 Median $229.09 Typical High $416.87 | Professional | None | $102.33 | $229.09 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $1,659.59 | Facility | None | $537.03 | $1,258.93 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $524.81 | Professional | None | $169.82 | $302.00 | $524.81 |
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 $117.49 Median $263.03 Typical High $562.34 | Professional | None | $117.49 | $263.03 | $562.34 |
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 $123.03 Median $234.42 Typical High $436.52 | Professional | None | $123.03 | $234.42 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
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 $58.88 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $58.88 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $23.99 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $165.96 Typical High $186.21 | Professional | 54 · Surgery only | $89.13 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $33.11 Typical High $37.15 | Professional | 55 · Aftercare only | $17.78 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $21.88 Typical High $25.12 | Professional | 56 · Pre-op care only | $12.02 | $21.88 | $25.12 |
Where New Hampshire sits
The same service costs 3.8 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· 17th of 51
$234
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.