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 $302.00 Median $2,238.72 Typical High $5,011.87 | Facility | None | $302.00 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $524.81 Typical High $758.58 | Professional | None | $288.40 | $524.81 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
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 $309.03 Median $616.60 Typical High $933.25 | Professional | None | $309.03 | $616.60 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $724.44 | Facility | None | $389.05 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $512.86 Typical High $758.58 | Professional | None | $288.40 | $512.86 | $758.58 |
Hometown Health Setting Professional Modifier None Typical Low $281.84 Median $467.74 Typical High $933.25 | Professional | None | $281.84 | $467.74 | $933.25 |
Hometown Health Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $380.19 Typical High $933.25 | Professional | None | $4.90 | $380.19 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $630.96 Typical High $4,265.80 | Facility | None | $257.04 | $630.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
United Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,949.84 | Facility | None | $97.72 | $234.42 | $1,949.84 |
United Setting Professional Modifier None Typical Low $309.03 Median $562.34 Typical High $812.83 | Professional | None | $309.03 | $562.34 | $812.83 |
1 more rate 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 54 · Surgery only Typical Low $218.78 Median $371.54 Typical High $446.68 | Professional | 54 · Surgery only | $218.78 | $371.54 | $446.68 |
Where Nevada sits
The same service costs 3.1 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· 41st of 51
$550
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.