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 $2,398.83 Median $2,398.83 Typical High $9,772.37 | Facility | None | $2,398.83 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $58.88 | Professional | None | $28.84 | $35.48 | $58.88 |
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 $21.38 Median $33.88 Typical High $46.77 | Professional | None | $21.38 | $33.88 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $724.44 | Facility | None | $24.55 | $32.36 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $87.10 | Professional | None | $33.11 | $50.12 | $87.10 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $25.12 Median $43.65 Typical High $83.18 | Professional | None | $25.12 | $43.65 | $83.18 |
United Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
United Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $77.62 | Professional | None | $30.90 | $43.65 | $77.62 |
Well Sense Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
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 $14.79 Median $17.78 Typical High $29.51 | Professional | 52 · Reduced service | $14.79 | $17.78 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.08 Typical High $11.75 | Professional | 53 · Discontinued | $5.89 | $7.08 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $26.30 Typical High $44.67 | Professional | 54 · Surgery only | $22.39 | $26.30 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.25 Typical High $8.91 | Professional | 55 · Aftercare only | $4.47 | $5.25 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.55 Typical High $5.89 | Professional | 56 · Pre-op care only | $2.95 | $3.55 | $5.89 |
Where New Hampshire sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 21st of 51
$41.69
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.