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 $64.57 Median $2,137.96 Typical High $10,715.19 | Facility | None | $64.57 | $2,137.96 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $112.20 Typical High $165.96 | Professional | None | $63.10 | $112.20 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $4,466.84 | Facility | None | $2,238.72 | $3,548.13 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $144.54 Typical High $229.09 | Professional | None | $69.18 | $144.54 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $741.31 Typical High $2,137.96 | Facility | None | $54.95 | $741.31 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $109.65 Typical High $190.55 | Professional | None | $61.66 | $109.65 | $190.55 |
Hometown Health Setting Professional Modifier None Typical Low $63.10 Median $125.89 Typical High $223.87 | Professional | None | $63.10 | $125.89 | $223.87 |
Hometown Health Setting Professional Modifier None Typical Low $1.32 Median $85.11 Typical High $218.78 | Professional | None | $1.32 | $85.11 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $147.91 Typical High $4,265.80 | Facility | None | $57.54 | $147.91 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
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 $67.61 Median $114.82 Typical High $190.55 | Professional | None | $67.61 | $114.82 | $190.55 |
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 $32.36 Median $53.70 Typical High $74.13 | Professional | 52 · Reduced service | $32.36 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $21.38 Typical High $29.51 | Professional | 53 · Discontinued | $12.88 | $21.38 | $29.51 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $79.43 Typical High $109.65 | Professional | 54 · Surgery only | $47.86 | $79.43 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $16.22 Typical High $21.88 | Professional | 55 · Aftercare only | $9.55 | $16.22 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $10.72 Typical High $14.79 | Professional | 56 · Pre-op care only | $6.46 | $10.72 | $14.79 |
Where Nevada sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 36th of 51
$129
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.