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 $23.99 Median $74.13 Typical High $2,398.83 | Facility | None | $23.99 | $74.13 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $74.13 Typical High $138.04 | Professional | None | $23.99 | $74.13 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $102.33 | Professional | None | $24.55 | $24.55 | $102.33 |
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 $19.95 Median $38.90 Typical High $128.82 | Professional | None | $19.95 | $38.90 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $89.13 Typical High $239.88 | Professional | None | $33.11 | $89.13 | $239.88 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $37.15 Median $97.72 Typical High $288.40 | Professional | None | $37.15 | $97.72 | $288.40 |
United Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
United Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $112.20 | Professional | None | $34.67 | $60.26 | $112.20 |
3 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 54 · Surgery only Typical Low $18.20 Median $56.23 Typical High $74.13 | Professional | 54 · Surgery only | $18.20 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $11.22 Typical High $14.79 | Professional | 55 · Aftercare only | $3.63 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $7.41 Typical High $10.00 | Professional | 56 · Pre-op care only | $2.40 | $7.41 | $10.00 |
Where New Hampshire sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 36th of 51
$69.18
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.