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 $18.20 Median $18.20 Typical High $35.48 | Facility | None | $18.20 | $18.20 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $33.11 | Professional | None | $13.80 | $18.20 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $25.12 | Professional | None | $15.85 | $19.95 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $17.38 Median $20.89 Typical High $38.90 | Professional | None | $17.38 | $20.89 | $38.90 |
United Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $38.02 | Professional | None | $16.22 | $20.89 | $38.02 |
Well Sense Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $11.75 | Facility | None | $9.12 | $9.12 | $11.75 |
Well Sense Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
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 $6.46 Median $9.12 Typical High $9.12 | Professional | 52 · Reduced service | $6.46 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.63 Typical High $3.63 | Professional | 53 · Discontinued | $2.57 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.95 Median $2.69 Typical High $2.69 | Professional | 55 · Aftercare only | $1.95 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.82 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.29 | $1.82 | $1.82 |
Where New Hampshire sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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
$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.