How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $263.03 | Professional | None | $147.91 | $190.55 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $234.42 | Professional | None | $134.90 | $204.17 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $331.13 | Professional | None | $158.49 | $199.53 | $331.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $144.54 Median $208.93 Typical High $371.54 | Professional | None | $144.54 | $208.93 | $371.54 |
Optum Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $208.93 | Professional | None | $151.36 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $371.54 | Professional | None | $162.18 | $208.93 | $371.54 |
Well Sense Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $147.91 | Professional | None | $100.00 | $100.00 | $147.91 |
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 $74.13 Median $91.20 Typical High $109.65 | Professional | 52 · Reduced service | $74.13 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $27.54 Typical High $33.11 | Professional | 55 · Aftercare only | $22.39 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $18.20 Typical High $21.88 | Professional | 56 · Pre-op care only | $14.79 | $18.20 | $21.88 |
Well Sense Setting Facility Modifier HN · Bachelor's level Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | HN · Bachelor's level | $102.33 | $102.33 | $102.33 |
Where New Hampshire sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 10th 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.