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 $208.93 Median $562.34 Typical High $1,174.90 | Professional | None | $208.93 | $562.34 | $1,174.90 |
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 $144.54 Median $426.58 Typical High $1,258.93 | Professional | None | $144.54 | $426.58 | $1,258.93 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $645.65 Typical High $2,137.96 | Professional | 50 · Both sides | $363.08 | $645.65 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,230.27 Typical High $1,621.81 | Facility | None | $575.44 | $1,230.27 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $676.08 Typical High $2,187.76 | Professional | None | $204.17 | $676.08 | $2,187.76 |
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 $186.21 Median $831.76 Typical High $2,398.83 | Professional | None | $186.21 | $831.76 | $2,398.83 |
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 $223.87 Median $831.76 Typical High $1,737.80 | Professional | None | $223.87 | $831.76 | $1,737.80 |
Well Sense Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
1 more rate 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 $190.55 Median $426.58 Typical High $891.25 | Professional | 54 · Surgery only | $190.55 | $426.58 | $891.25 |
Where New Hampshire 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.
New Hampshire· 28th of 51
$759
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.