How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $741.31 | Professional | None | $602.56 | $645.65 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,288.25 | Professional | None | $794.33 | $912.01 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,949.84 | Professional | None | $851.14 | $933.25 | $1,949.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,995.26 | Professional | None | $741.31 | $1,047.13 | $1,995.26 |
United Setting Professional Modifier None Typical Low $676.08 Median $870.96 Typical High $1,659.59 | Professional | None | $676.08 | $870.96 | $1,659.59 |
4 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 $302.00 Median $323.59 Typical High $338.84 | Professional | 52 · Reduced service | $302.00 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $128.82 Typical High $138.04 | Professional | 53 · Discontinued | $123.03 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $97.72 Typical High $102.33 | Professional | 55 · Aftercare only | $91.20 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $64.57 Typical High $69.18 | Professional | 56 · Pre-op care only | $60.26 | $64.57 | $69.18 |
Where New Hampshire sits
The same service costs 3.2 times more in Alaska than in New York. 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
$912
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.