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 $77.62 Median $102.33 Typical High $125.89 | Professional | None | $77.62 | $102.33 | $125.89 |
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 $63.10 Median $97.72 Typical High $128.82 | Professional | None | $63.10 | $97.72 | $128.82 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $181.97 Typical High $269.15 | Professional | 50 · Both sides | $125.89 | $181.97 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $131.83 | Facility | None | $66.07 | $93.33 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $239.88 | Professional | None | $93.33 | $144.54 | $239.88 |
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 $70.79 Median $120.23 Typical High $223.87 | Professional | None | $70.79 | $120.23 | $223.87 |
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 $83.18 Median $120.23 Typical High $204.17 | Professional | None | $83.18 | $120.23 | $204.17 |
Well Sense Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
2 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 54 · Surgery only Typical Low $60.26 Median $77.62 Typical High $93.33 | Professional | 54 · Surgery only | $60.26 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $56.23 Median $72.44 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $56.23 | $72.44 | $87.10 |
Where New Hampshire sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 16th of 51
$112
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.