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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $131.83 Typical High $131.83 | Professional | None | $125.89 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | None | $112.20 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $104.71 Median $117.49 Typical High $269.15 | Professional | None | $104.71 | $117.49 | $269.15 |
United Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $275.42 | Professional | None | $97.72 | $144.54 | $275.42 |
Well Sense Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $63.10 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $63.10 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $25.12 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 55 · Aftercare only | $18.62 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $12.59 | $13.18 | $13.18 |
Where New Hampshire sits
The same service costs 3.3 times more in Alaska than in Wyoming. 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· 17th of 51
$115
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.