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 $52.48 Median $53.70 Typical High $53.70 | Professional | None | $52.48 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $26.30 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.47 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $8.13 Typical High $8.13 | Professional | 55 · Aftercare only | $7.76 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.37 Typical High $5.37 | Professional | 56 · Pre-op care only | $5.25 | $5.37 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $79.43 Typical High $114.82 | Professional | None | $48.98 | $79.43 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $67.61 | Professional | None | $45.71 | $45.71 | $67.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $100.00 | Professional | None | $40.74 | $40.74 | $100.00 |
United Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $134.90 | Professional | None | $57.54 | $87.10 | $134.90 |
1 more rate 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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier HN · Bachelor's level + HO · Master's level + SA · Nurse practitioner Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | HN · Bachelor's level + HO · Master's level + SA · Nurse practitioner | $41.69 | $41.69 | $41.69 |
Where New Hampshire sits
The same service costs 2.2 times more in Alaska than in Arizona. 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· 22nd of 51
$53.70
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.