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 $120.23 Median $239.88 Typical High $478.63 | Professional | None | $120.23 | $239.88 | $478.63 |
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 $77.62 Median $177.83 Typical High $288.40 | Professional | None | $77.62 | $177.83 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $245.47 Typical High $575.44 | Professional | None | $100.00 | $245.47 | $575.44 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $123.03 Median $263.03 Typical High $616.60 | Professional | None | $123.03 | $263.03 | $616.60 |
United Setting Professional Modifier None Typical Low $147.91 Median $295.12 Typical High $549.54 | Professional | None | $147.91 | $295.12 | $549.54 |
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 $58.88 Median $112.20 Typical High $138.04 | Professional | 52 · Reduced service | $58.88 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $44.67 Typical High $54.95 | Professional | 53 · Discontinued | $23.44 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $165.96 Typical High $208.93 | Professional | 54 · Surgery only | $89.13 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $33.88 Typical High $41.69 | Professional | 55 · Aftercare only | $17.78 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $22.39 Typical High $27.54 | Professional | 56 · Pre-op care only | $11.75 | $22.39 | $27.54 |
Where New Hampshire sits
The same service costs 3.4 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· 33rd of 51
$204
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.