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 $97.72 Median $109.65 Typical High $109.65 | Professional | None | $97.72 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $194.98 | Professional | None | $75.86 | $151.36 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $181.97 | Facility | None | $67.61 | $67.61 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $181.97 | Professional | None | $85.11 | $104.71 | $181.97 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $194.98 | Professional | None | $83.18 | $114.82 | $194.98 |
United Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $194.98 | Professional | None | $83.18 | $109.65 | $194.98 |
Well Sense Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
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 $47.86 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $19.50 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $14.45 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $9.77 | $10.96 | $10.96 |
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· 14th of 51
$120
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.