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 $74.13 Median $75.86 Typical High $75.86 | Professional | None | $74.13 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $36.31 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $14.79 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $10.96 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.59 Typical High $7.59 | Professional | 56 · Pre-op care only | $7.41 | $7.59 | $7.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $173.78 | Professional | None | $74.13 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | None | $67.61 | $67.61 | $95.50 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $144.54 | Professional | None | $60.26 | $60.26 | $144.54 |
United Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $186.21 | Professional | None | $79.43 | $123.03 | $186.21 |
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 54 · Surgery only + HN · Bachelor's level Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | 54 · Surgery only + HN · Bachelor's level | $50.12 | $50.12 | $50.12 |
Where New Hampshire sits
The same service costs 2.2 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· 24th of 51
$75.86
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.