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 $53.70 Median $70.79 Typical High $9,772.37 | Facility | None | $53.70 | $70.79 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $97.72 | Professional | None | $40.74 | $57.54 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
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 $29.51 Median $50.12 Typical High $67.61 | Professional | None | $29.51 | $50.12 | $67.61 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $93.33 Typical High $131.83 | Professional | 50 · Both sides | $67.61 | $93.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $46.77 Typical High $100.00 | Facility | None | $35.48 | $46.77 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $131.83 | Professional | None | $44.67 | $77.62 | $131.83 |
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 $35.48 Median $64.57 Typical High $123.03 | Professional | None | $35.48 | $64.57 | $123.03 |
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 $42.66 Median $66.07 Typical High $112.20 | Professional | None | $42.66 | $66.07 | $112.20 |
Well Sense Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
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 $32.36 Median $39.81 Typical High $53.70 | Professional | 54 · Surgery only | $32.36 | $39.81 | $53.70 |
Where New Hampshire sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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
$60.26
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.