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 Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,202.26 | Professional | None | $870.96 | $1,023.29 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $741.31 Typical High $2,089.30 | Professional | None | $30.20 | $741.31 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $33.88 Median $891.25 Typical High $2,754.23 | Professional | None | $33.88 | $891.25 | $2,754.23 |
United Setting Professional Modifier None Typical Low $27.54 Median $630.96 Typical High $2,290.87 | Professional | None | $27.54 | $630.96 | $2,290.87 |
Well Sense Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Well Sense Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $933.25 | Professional | None | $19.50 | $19.50 | $933.25 |
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 $549.54 Median $588.84 Typical High $676.08 | Professional | 52 · Reduced service | $549.54 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $239.88 Typical High $275.42 | Professional | 53 · Discontinued | $223.87 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $177.83 Typical High $204.17 | Professional | 55 · Aftercare only | $173.78 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $120.23 Typical High $134.90 | Professional | 56 · Pre-op care only | $114.82 | $120.23 | $134.90 |
Where New Hampshire sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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
$1,023
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.