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 $181.97 Median $338.84 Typical High $467.74 | Professional | None | $181.97 | $338.84 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $275.42 Typical High $436.52 | Professional | None | $131.83 | $275.42 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $398.11 Typical High $776.25 | Professional | None | $186.21 | $398.11 | $776.25 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $165.96 Median $407.38 Typical High $933.25 | Professional | None | $165.96 | $407.38 | $933.25 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
United Setting Professional Modifier None Typical Low $218.78 Median $446.68 Typical High $891.25 | Professional | None | $218.78 | $446.68 | $891.25 |
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 $91.20 Median $169.82 Typical High $234.42 | Professional | 52 · Reduced service | $91.20 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $67.61 Typical High $93.33 | Professional | 53 · Discontinued | $36.31 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $257.04 Typical High $346.74 | Professional | 54 · Surgery only | $134.90 | $257.04 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $51.29 Typical High $69.18 | Professional | 55 · Aftercare only | $26.92 | $51.29 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $33.88 Typical High $46.77 | Professional | 56 · Pre-op care only | $18.20 | $33.88 | $46.77 |
Where New Hampshire sits
The same service costs 3.5 times more in Alaska than in Virginia. 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· 19th of 51
$347
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.