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 $30.90 Median $48.98 Typical High $9,772.37 | Facility | None | $30.90 | $48.98 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $91.20 | Professional | None | $30.90 | $48.98 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $52.48 Typical High $100.00 | Professional | None | $27.54 | $52.48 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $724.44 Typical High $2,691.53 | Facility | None | $489.78 | $724.44 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $35.48 Median $69.18 Typical High $147.91 | Professional | None | $35.48 | $69.18 | $147.91 |
United Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $2,344.23 | Facility | None | $323.59 | $524.81 | $2,344.23 |
United Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $131.83 | Professional | None | $43.65 | $69.18 | $131.83 |
5 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 $15.49 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $15.49 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $6.17 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.91 Median $37.15 Typical High $37.15 | Professional | 54 · Surgery only | $22.91 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $7.41 Typical High $7.41 | Professional | 55 · Aftercare only | $4.57 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $4.90 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.09 | $4.90 | $4.90 |
Where New Hampshire sits
The same service costs 2.8 times more in Alaska than in California. 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· 23rd of 51
$54.95
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.