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 Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $19.05 | Professional | None | $8.32 | $12.02 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $23.44 Typical High $36.31 | Professional | None | $7.08 | $23.44 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.51 Median $22.91 Typical High $51.29 | Professional | None | $8.51 | $22.91 | $51.29 |
United Setting Professional Modifier None Typical Low $9.55 Median $22.91 Typical High $46.77 | Professional | None | $9.55 | $22.91 | $46.77 |
Well Sense Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Well Sense Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
2 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 55 · Aftercare only Typical Low $1.26 Median $1.78 Typical High $2.82 | Professional | 55 · Aftercare only | $1.26 | $1.78 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $1.41 Typical High $1.91 | Professional | 56 · Pre-op care only | $0.83 | $1.41 | $1.91 |
Where New Hampshire sits
The same service costs 3.8 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· 28th of 51
$19.95
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.