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 $2,398.83 Median $2,398.83 Typical High $9,772.37 | Facility | None | $2,398.83 | $2,398.83 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $53.70 Typical High $57.54 | Professional | None | $22.91 | $53.70 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $67.61 Typical High $120.23 | Professional | None | $19.05 | $67.61 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $20.89 Median $58.88 Typical High $173.78 | Professional | None | $20.89 | $58.88 | $173.78 |
United Setting Professional Modifier None Typical Low $24.55 Median $50.12 Typical High $162.18 | Professional | None | $24.55 | $50.12 | $162.18 |
Well Sense Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Well Sense Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
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 $11.48 Median $23.44 Typical High $28.84 | Professional | 52 · Reduced service | $11.48 | $23.44 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $9.33 Typical High $11.48 | Professional | 53 · Discontinued | $4.57 | $9.33 | $11.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $6.92 Typical High $8.71 | Professional | 55 · Aftercare only | $3.47 | $6.92 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $4.68 Typical High $5.75 | Professional | 56 · Pre-op care only | $2.29 | $4.68 | $5.75 |
Where New Hampshire sits
The same service costs 6.5 times more in Alaska than in Indiana. 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· 34th of 51
$56.23
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.