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 $15.14 Median $2,137.96 Typical High $10,715.19 | Facility | None | $15.14 | $2,137.96 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $21.88 | Professional | None | $14.13 | $16.22 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $28.84 | Professional | None | $15.85 | $20.42 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,122.02 Typical High $2,691.53 | Facility | None | $660.69 | $1,122.02 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $26.92 | Professional | None | $13.80 | $17.38 | $26.92 |
Hometown Health Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $27.54 | Professional | None | $14.13 | $19.95 | $27.54 |
Hometown Health Setting Professional Modifier None Typical Low $0.24 Median $19.50 Typical High $27.54 | Professional | None | $0.24 | $19.50 | $27.54 |
Select Health Setting Facility Modifier None Typical Low $12.88 Median $18.20 Typical High $4,265.80 | Facility | None | $12.88 | $18.20 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
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 $13.80 Median $17.78 Typical High $28.84 | Professional | None | $13.80 | $17.78 | $28.84 |
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 $7.59 Median $7.94 Typical High $8.91 | Professional | 52 · Reduced service | $7.59 | $7.94 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.16 Typical High $3.55 | Professional | 53 · Discontinued | $3.02 | $3.16 | $3.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11.22 Median $12.02 Typical High $13.18 | Professional | 54 · Surgery only | $11.22 | $12.02 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.24 Median $2.40 Typical High $2.63 | Professional | 55 · Aftercare only | $2.24 | $2.40 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.58 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.51 | $1.58 | $1.78 |
Where Nevada sits
The same service costs 3.9 times more in Alaska than in New Jersey. 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· 37th of 51
$18.62
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.