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 $29.51 Median $1,698.24 Typical High $4,365.16 | Facility | None | $29.51 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $61.66 Typical High $79.43 | Professional | None | $28.18 | $61.66 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $69.18 Typical High $102.33 | Professional | None | $30.20 | $69.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $2,137.96 | Facility | None | $562.34 | $758.58 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $58.88 Typical High $89.13 | Professional | None | $26.30 | $58.88 | $89.13 |
Hometown Health Setting Professional Modifier None Typical Low $26.92 Median $56.23 Typical High $107.15 | Professional | None | $26.92 | $56.23 | $107.15 |
Hometown Health Setting Professional Modifier None Typical Low $0.48 Median $37.15 Typical High $104.71 | Professional | None | $0.48 | $37.15 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $24.55 Median $70.79 Typical High $4,265.80 | Facility | None | $24.55 | $70.79 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $1,949.84 | Facility | None | $97.72 | $245.47 | $1,949.84 |
United Setting Professional Modifier None Typical Low $31.62 Median $67.61 Typical High $97.72 | Professional | None | $31.62 | $67.61 | $97.72 |
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 $14.13 Median $23.99 Typical High $34.67 | Professional | 52 · Reduced service | $14.13 | $23.99 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $9.55 Typical High $13.80 | Professional | 53 · Discontinued | $5.75 | $9.55 | $13.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.38 Median $35.48 Typical High $51.29 | Professional | 54 · Surgery only | $21.38 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $7.08 Typical High $10.23 | Professional | 55 · Aftercare only | $4.27 | $7.08 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $4.79 Typical High $6.92 | Professional | 56 · Pre-op care only | $2.82 | $4.79 | $6.92 |
Where Nevada sits
The same service costs 3.3 times more in Alaska 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· 32nd of 51
$66.07
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.