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 $21.38 Median $21.38 Typical High $22.39 | Professional | None | $21.38 | $21.38 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $24.55 Typical High $53.70 | Professional | None | $18.20 | $24.55 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $63.10 | Professional | None | $23.99 | $26.30 | $63.10 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.95 Median $30.20 Typical High $61.66 | Professional | None | $19.95 | $30.20 | $61.66 |
United Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $74.13 | Professional | None | $23.44 | $34.67 | $74.13 |
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 $10.23 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $10.23 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.27 Typical High $4.47 | Professional | 53 · Discontinued | $4.07 | $4.27 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $3.16 Typical High $3.31 | Professional | 55 · Aftercare only | $3.09 | $3.16 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $2.14 Typical High $2.24 | Professional | 56 · Pre-op care only | $2.04 | $2.14 | $2.24 |
Where New Hampshire sits
The same service costs 2.8 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· 23rd of 51
$25.70
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.