How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $44.67 Median $53.70 Typical High $61.66 | Professional | None | $44.67 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.39 Median $26.92 Typical High $30.90 | Professional | 52 · Reduced service | $22.39 | $26.92 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $85.11 | Professional | None | $38.02 | $66.07 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | None | $61.66 | $61.66 | $77.62 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $109.65 | Professional | None | $31.62 | $54.95 | $109.65 |
United Setting Professional Modifier None Typical Low $52.48 Median $85.11 Typical High $151.36 | Professional | None | $52.48 | $85.11 | $151.36 |
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 $40.74 Median $40.74 Typical High $40.74 | Facility | 54 · Surgery only + HN · Bachelor's level | $40.74 | $40.74 | $40.74 |
Where New Hampshire sits
The same service costs 2.5 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· 29th 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.