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 $128.82 Median $151.36 Typical High $151.36 | Professional | None | $128.82 | $151.36 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $213.80 Typical High $281.84 | Professional | None | $104.71 | $213.80 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,412.54 | Facility | None | $537.03 | $537.03 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $257.04 | Professional | None | $120.23 | $144.54 | $257.04 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $275.42 | Professional | None | $114.82 | $158.49 | $275.42 |
United Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $263.03 | Professional | None | $109.65 | $151.36 | $263.03 |
Well Sense Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
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 $64.57 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $64.57 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $25.70 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $19.05 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $15.14 Typical High $15.14 | Professional | 56 · Pre-op care only | $12.88 | $15.14 | $15.14 |
Where New Hampshire sits
The same service costs 3.0 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· 13th of 51
$166
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.