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 Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $954.99 | Professional | None | $208.93 | $257.04 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $562.34 Typical High $1,348.96 | Professional | None | $154.88 | $562.34 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $257.04 Median $851.14 Typical High $2,041.74 | Professional | 50 · Both sides | $257.04 | $851.14 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,412.54 | Facility | None | $707.95 | $870.96 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $371.54 Typical High $1,412.54 | Professional | None | $218.78 | $371.54 | $1,412.54 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,071.52 | $1,778.28 | $3,311.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $181.97 Median $707.95 Typical High $1,445.44 | Professional | None | $181.97 | $707.95 | $1,445.44 |
Martin's Point Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $954.99 | Professional | None | $208.93 | $257.04 | $954.99 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,071.52 | $1,778.28 | $3,311.31 |
United Setting Professional Modifier None Typical Low $234.42 Median $426.58 Typical High $1,288.25 | Professional | None | $234.42 | $426.58 | $1,288.25 |
2 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 54 · Surgery only Typical Low $154.88 Median $190.55 Typical High $724.44 | Professional | 54 · Surgery only | $154.88 | $190.55 | $724.44 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $190.55 Typical High $724.44 | Professional | 54 · Surgery only | $154.88 | $190.55 | $724.44 |
Where Maine sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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.
Maine· 43rd of 51
$646
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.