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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $169.82 | Professional | None | $79.43 | $112.20 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $128.82 | Professional | None | $97.72 | $114.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $114.82 Typical High $204.17 | Professional | None | $63.10 | $114.82 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $208.93 | Professional | None | $83.18 | $131.83 | $208.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $69.18 Median $123.03 Typical High $239.88 | Professional | None | $69.18 | $123.03 | $239.88 |
United Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $229.09 | Professional | None | $79.43 | $125.89 | $229.09 |
Well Sense Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Well Sense Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $81.28 | Professional | None | $48.98 | $48.98 | $81.28 |
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 52 · Reduced service Typical Low $39.81 Median $44.67 Typical High $63.10 | Professional | 52 · Reduced service | $39.81 | $44.67 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $13.49 Typical High $19.05 | Professional | 55 · Aftercare only | $11.75 | $13.49 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $8.91 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.94 | $8.91 | $12.88 |
Where New Hampshire sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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
$123
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.