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 $1,819.70 Median $2,398.83 Typical High $9,772.37 | Facility | None | $1,819.70 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $194.98 | Professional | None | $67.61 | $151.36 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,548.82 Typical High $3,467.37 | Facility | None | $1,288.25 | $1,548.82 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $123.03 Typical High $208.93 | Professional | None | $47.86 | $123.03 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $173.78 Typical High $426.58 | Professional | None | $61.66 | $173.78 | $426.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $77.62 Median $181.97 Typical High $478.63 | Professional | None | $77.62 | $181.97 | $478.63 |
United Setting Professional Modifier None Typical Low $91.20 Median $199.53 Typical High $407.38 | Professional | None | $91.20 | $199.53 | $407.38 |
5 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 $33.88 Median $83.18 Typical High $91.20 | Professional | 52 · Reduced service | $33.88 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $33.11 Typical High $36.31 | Professional | 53 · Discontinued | $13.80 | $33.11 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $125.89 Typical High $134.90 | Professional | 54 · Surgery only | $51.29 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $25.12 Typical High $26.92 | Professional | 55 · Aftercare only | $10.23 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $16.60 Typical High $18.20 | Professional | 56 · Pre-op care only | $6.76 | $16.60 | $18.20 |
Where New Hampshire sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 29th of 51
$151
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.