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 $72.44 Median $3,981.07 Typical High $10,715.19 | Facility | None | $72.44 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $79.43 | Professional | None | $69.18 | $72.44 | $79.43 |
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 $75.86 Median $93.33 Typical High $138.04 | Professional | None | $75.86 | $93.33 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $467.74 Typical High $724.44 | Facility | None | $398.11 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $67.61 Typical High $120.23 | Professional | None | $60.26 | $67.61 | $120.23 |
Hometown Health Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.56 | Professional | None | $0.49 | $0.49 | $0.56 |
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 $0.42 Median $0.42 Typical High $0.42 | Professional | None | $0.42 | $0.42 | $0.42 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
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 $30.20 Median $75.86 Typical High $117.49 | Professional | None | $30.20 | $75.86 | $117.49 |
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 $34.67 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $34.67 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $13.80 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $54.95 Typical High $57.54 | Professional | 54 · Surgery only | $51.29 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.96 Typical High $11.48 | Professional | 55 · Aftercare only | $10.23 | $10.96 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $7.24 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.92 | $7.24 | $7.59 |
Where Nevada sits
The same service costs 5.5 times more in Arkansas 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· 29th of 51
$95.50
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.