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 $758.58 Median $1,023.29 Typical High $1,071.52 | Professional | None | $758.58 | $1,023.29 | $1,071.52 |
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 $436.52 Median $676.08 Typical High $1,288.25 | Professional | None | $436.52 | $676.08 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $1,148.15 Typical High $2,187.76 | Professional | 50 · Both sides | $724.44 | $1,148.15 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $851.14 | Facility | None | $426.58 | $575.44 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,513.56 | Professional | None | $616.60 | $812.83 | $1,513.56 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $2,691.53 | Facility | None | $660.69 | $776.25 | $2,691.53 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,698.24 | Professional | None | $645.65 | $1,000.00 | $1,698.24 |
United Setting Facility Modifier None Typical Low $660.69 Median $851.14 Typical High $2,691.53 | Facility | None | $660.69 | $851.14 | $2,691.53 |
United Setting Professional Modifier None Typical Low $660.69 Median $912.01 Typical High $1,548.82 | Professional | None | $660.69 | $912.01 | $1,548.82 |
Well Sense Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
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 $380.19 Median $512.86 Typical High $537.03 | Professional | 52 · Reduced service | $380.19 | $512.86 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $204.17 Typical High $213.80 | Professional | 53 · Discontinued | $154.88 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $776.25 Typical High $812.83 | Professional | 54 · Surgery only | $575.44 | $776.25 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $154.88 Typical High $162.18 | Professional | 55 · Aftercare only | $114.82 | $154.88 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $102.33 Typical High $107.15 | Professional | 56 · Pre-op care only | $75.86 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $724.44 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $537.03 | $724.44 | $758.58 |
Where New Hampshire sits
The same service costs 6.2 times more in Alaska than in Utah. 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· 22nd of 51
$776
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.