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 $204.17 Median $288.40 Typical High $1,071.52 | Professional | None | $204.17 | $288.40 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $1,000.00 | Professional | None | $389.05 | $588.84 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $2,691.53 | Facility | None | $489.78 | $489.78 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $1,659.59 | Professional | None | $501.19 | $794.33 | $1,659.59 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $2,884.03 | Facility | None | $776.25 | $851.14 | $2,884.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $467.74 Median $794.33 Typical High $1,698.24 | Professional | None | $467.74 | $794.33 | $1,698.24 |
United Setting Facility Modifier None Typical Low $776.25 Median $933.25 Typical High $2,884.03 | Facility | None | $776.25 | $933.25 | $2,884.03 |
United Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $1,148.15 | Professional | None | $457.09 | $645.65 | $1,148.15 |
3 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 $102.33 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $102.33 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $40.74 Typical High $42.66 | Professional | 55 · Aftercare only | $30.90 | $40.74 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $27.54 Typical High $28.18 | Professional | 56 · Pre-op care only | $20.42 | $27.54 | $28.18 |
Where New Hampshire sits
The same service costs 3.1 times more in Alaska than in Indiana. 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
$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.