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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $114.82 Typical High $162.18 | Professional | None | $52.48 | $114.82 | $162.18 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $131.83 Typical High $263.03 | Professional | None | $37.15 | $131.83 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $891.25 | Facility | None | $331.13 | $331.13 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $154.88 Typical High $316.23 | Professional | None | $53.70 | $154.88 | $316.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $44.67 Median $134.90 Typical High $295.12 | Professional | None | $44.67 | $134.90 | $295.12 |
United Setting Professional Modifier None Typical Low $51.29 Median $123.03 Typical High $263.03 | Professional | None | $51.29 | $123.03 | $263.03 |
Well Sense Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $93.33 | Professional | None | $32.36 | $32.36 | $93.33 |
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 $26.30 Median $56.23 Typical High $81.28 | Professional | 52 · Reduced service | $26.30 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $22.91 Typical High $32.36 | Professional | 53 · Discontinued | $10.72 | $22.91 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $16.98 Typical High $24.55 | Professional | 55 · Aftercare only | $7.94 | $16.98 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $11.48 Typical High $16.22 | Professional | 56 · Pre-op care only | $5.25 | $11.48 | $16.22 |
Where New Hampshire sits
The same service costs 3.5 times more in Wisconsin than in Washington, DC. 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· 17th of 51
$132
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.