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 Facility Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $5,128.61 | Facility | None | $1,584.89 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,584.89 Typical High $1,621.81 | Professional | None | $1,548.82 | $1,584.89 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $9,772.37 Typical High $12,302.69 | Facility | None | $5,495.41 | $9,772.37 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,041.74 | Professional | None | $1,479.11 | $1,698.24 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $12,882.50 Typical High $18,197.01 | Facility | None | $741.31 | $12,882.50 | $18,197.01 |
Hometown Health Setting Professional Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $14,125.38 | Professional | None | $11,748.98 | $11,748.98 | $14,125.38 |
Hometown Health Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
Select Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $4,265.80 | Facility | None | $1,698.24 | $1,698.24 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,584.89 Median $5,011.87 Typical High $5,128.61 | Professional | None | $1,584.89 | $5,011.87 | $5,128.61 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $8,912.51 Typical High $21,877.62 | Facility | None | $3,388.44 | $8,912.51 | $21,877.62 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $2,511.89 | Professional | None | $1,122.02 | $1,479.11 | $2,511.89 |
5 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 $776.25 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $776.25 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $309.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $1,174.90 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $234.42 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $154.88 | $158.49 | $158.49 |
Where Nevada sits
The same service costs 6.9 times more in Arkansas than in Kentucky. 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.
Nevada· 23rd of 51
$2,042
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.