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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $144.54 | Professional | None | $69.18 | $97.72 | $144.54 |
Ambetter Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $114.82 | Professional | None | $89.13 | $104.71 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $109.65 Typical High $190.55 | Professional | None | $58.88 | $109.65 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $186.21 | Professional | None | $75.86 | $117.49 | $186.21 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $63.10 Median $112.20 Typical High $218.78 | Professional | None | $63.10 | $112.20 | $218.78 |
United Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $208.93 | Professional | None | $70.79 | $114.82 | $208.93 |
Well Sense Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Facility | None | $97.72 | $97.72 | $117.49 |
Well Sense Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $63.10 | Professional | None | $41.69 | $41.69 | $63.10 |
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 $34.67 Median $40.74 Typical High $53.70 | Professional | 52 · Reduced service | $34.67 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $12.02 Typical High $16.22 | Professional | 55 · Aftercare only | $10.47 | $12.02 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.13 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.92 | $8.13 | $10.72 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $109.65 Median $114.82 Typical High $134.90 | Professional | 25 · Same-day visit | $109.65 | $114.82 | $134.90 |
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
$110
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.