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 $63.10 Median $4,897.79 Typical High $4,897.79 | Professional | None | $63.10 | $4,897.79 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $87.10 | Professional | None | $64.57 | $83.18 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $102.33 | Professional | None | $61.66 | $67.61 | $102.33 |
United Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | None | $61.66 | $61.66 | $63.10 |
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 $31.62 Median $2,454.71 Typical High $2,454.71 | Professional | 52 · Reduced service | $31.62 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $977.24 Typical High $977.24 | Professional | 53 · Discontinued | $12.59 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $741.31 Typical High $741.31 | Professional | 55 · Aftercare only | $9.55 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $489.78 Typical High $489.78 | Professional | 56 · Pre-op care only | $6.31 | $489.78 | $489.78 |
Where New Hampshire sits
The same service costs 4.6 times more in New York than in North Carolina. 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· 11th of 51
$67.61
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.