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 $251.19 Median $251.19 Typical High $309.03 | Professional | None | $251.19 | $251.19 | $309.03 |
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 $125.89 Median $190.55 Typical High $398.11 | Professional | None | $125.89 | $190.55 | $398.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $97.72 Median $131.83 Typical High $323.59 | Professional | 62 · Two surgeons | $97.72 | $131.83 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $575.44 | Facility | None | $138.04 | $181.97 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $537.03 | Professional | None | $177.83 | $281.84 | $537.03 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $2,691.53 | Facility | None | $660.69 | $776.25 | $2,691.53 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $602.56 | Professional | None | $165.96 | $281.84 | $602.56 |
United Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $2,691.53 | Facility | None | $660.69 | $851.14 | $2,691.53 |
United Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $537.03 | Professional | None | $181.97 | $251.19 | $537.03 |
Well Sense Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
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 $123.03 Median $123.03 Typical High $154.88 | Professional | 52 · Reduced service | $123.03 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $50.12 | $50.12 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $186.21 Typical High $229.09 | Professional | 54 · Surgery only | $186.21 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | 55 · Aftercare only | $37.15 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $30.90 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $30.90 |
Where New Hampshire sits
The same service costs 3.4 times more in Alaska than in Pennsylvania. 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· 26th of 51
$229
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.