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 $83.18 Median $177.83 Typical High $186.21 | Professional | None | $83.18 | $177.83 | $186.21 |
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 $75.86 Median $144.54 Typical High $363.08 | Professional | None | $75.86 | $144.54 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $977.24 Typical High $1,348.96 | Facility | None | $537.03 | $977.24 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $537.03 | Professional | None | $128.82 | $245.47 | $537.03 |
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 $87.10 Median $234.42 Typical High $549.54 | Professional | None | $87.10 | $234.42 | $549.54 |
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 $213.80 Typical High $436.52 | Professional | None | $93.33 | $213.80 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
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 $41.69 Median $89.13 Typical High $91.20 | Professional | 52 · Reduced service | $41.69 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $35.48 Typical High $36.31 | Professional | 53 · Discontinued | $16.60 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $134.90 Typical High $134.90 | Professional | 54 · Surgery only | $63.10 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $26.92 Typical High $26.92 | Professional | 55 · Aftercare only | $12.59 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $17.78 Typical High $18.20 | Professional | 56 · Pre-op care only | $8.32 | $17.78 | $18.20 |
Where New Hampshire sits
The same service costs 4.1 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· 33rd of 51
$182
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.