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 $131.83 Median $154.88 Typical High $154.88 | Facility | None | $131.83 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $281.84 | Professional | None | $154.88 | $154.88 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $302.00 | Professional | None | $173.78 | $223.87 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $416.87 | Professional | None | $190.55 | $229.09 | $416.87 |
United Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $407.38 | Professional | None | $173.78 | $229.09 | $407.38 |
Well Sense Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $112.20 Median $112.20 Typical High $112.20 | Facility | 54 · Surgery only + HN · Bachelor's level | $112.20 | $112.20 | $112.20 |
Where New Hampshire sits
The same service costs 2.6 times more in North Dakota than in New York. 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· 16th of 51
$209
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.