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 $7.59 Median $2,137.96 Typical High $10,715.19 | Facility | None | $7.59 | $2,137.96 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $13.18 Typical High $21.88 | Professional | None | $6.92 | $13.18 | $21.88 |
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 $7.24 Median $13.80 Typical High $20.42 | Professional | None | $7.24 | $13.80 | $20.42 |
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 $6.46 Median $15.14 Typical High $21.38 | Professional | None | $6.46 | $15.14 | $21.38 |
Hometown Health Setting Professional Modifier None Typical Low $7.24 Median $11.48 Typical High $21.38 | Professional | None | $7.24 | $11.48 | $21.38 |
Hometown Health Setting Professional Modifier None Typical Low $0.18 Median $10.00 Typical High $21.38 | Professional | None | $0.18 | $10.00 | $21.38 |
Select Health Setting Facility Modifier None Typical Low $6.61 Median $14.45 Typical High $4,265.80 | Facility | None | $6.61 | $14.45 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
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 $7.76 Median $13.18 Typical High $22.91 | Professional | None | $7.76 | $13.18 | $22.91 |
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 $3.80 Median $5.50 Typical High $7.24 | Professional | 52 · Reduced service | $3.80 | $5.50 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $2.24 Typical High $2.88 | Professional | 53 · Discontinued | $1.51 | $2.24 | $2.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.62 Median $8.32 Typical High $10.72 | Professional | 54 · Surgery only | $5.62 | $8.32 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.66 Typical High $2.14 | Professional | 55 · Aftercare only | $1.12 | $1.66 | $2.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $1.12 Typical High $1.45 | Professional | 56 · Pre-op care only | $0.76 | $1.12 | $1.45 |
Where Nevada sits
The same service costs 3.5 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· 30th of 51
$14.45
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.