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 $3,388.44 Typical High $14,791.08 | Facility | None | $2,398.83 | $3,388.44 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,071.52 Typical High $2,344.23 | Professional | None | $416.87 | $1,071.52 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,011.87 Median $5,623.41 Typical High $9,332.54 | Facility | None | $5,011.87 | $5,623.41 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $794.33 Typical High $2,691.53 | Professional | None | $389.05 | $794.33 | $2,691.53 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $1,174.90 Typical High $2,754.23 | Professional | 50 · Both sides | $776.25 | $1,174.90 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $6,760.83 Typical High $8,511.38 | Facility | None | $630.96 | $6,760.83 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,862.09 Typical High $5,128.61 | Professional | None | $562.34 | $1,862.09 | $5,128.61 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $2,344.23 Median $3,467.37 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,467.37 | $6,918.31 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $588.84 Median $2,454.71 Typical High $6,760.83 | Professional | None | $588.84 | $2,454.71 | $6,760.83 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $6,918.31 | Facility | None | $2,344.23 | $3,548.13 | $6,918.31 |
United Setting Professional Modifier None Typical Low $575.44 Median $2,511.89 Typical High $5,623.41 | Professional | None | $575.44 | $2,511.89 | $5,623.41 |
Well Sense Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
6 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 $208.93 Median $537.03 Typical High $1,174.90 | Professional | 52 · Reduced service | $208.93 | $537.03 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $213.80 Typical High $467.74 | Professional | 53 · Discontinued | $83.18 | $213.80 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $812.83 Typical High $1,737.80 | Professional | 54 · Surgery only | $316.23 | $812.83 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $162.18 Typical High $354.81 | Professional | 55 · Aftercare only | $63.10 | $162.18 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $107.15 Typical High $234.42 | Professional | 56 · Pre-op care only | $41.69 | $107.15 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $758.58 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $295.12 | $758.58 | $1,621.81 |
Where New Hampshire sits
The same service costs 9.8 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· 39th of 51
$1,288
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.