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 $257.04 Median $257.04 Typical High $416.87 | Professional | None | $257.04 | $257.04 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | None | $10.00 | $10.00 | $10.23 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $363.08 | Professional | None | $169.82 | $223.87 | $363.08 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $363.08 | Professional | None | $169.82 | $223.87 | $363.08 |
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 |
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 $128.82 Median $128.82 Typical High $208.93 | Professional | 52 · Reduced service | $128.82 | $128.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $83.18 | Professional | 53 · Discontinued | $51.29 | $51.29 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $61.66 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $41.69 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $41.69 |
Where New Hampshire sits
The same service costs 38.0 times more in Minnesota than in Connecticut. 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· 39th of 51
$224
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.