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 $257.04 Median $2,570.40 Typical High $10,715.19 | Facility | None | $257.04 | $2,570.40 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $257.04 Typical High $269.15 | Professional | None | $131.83 | $257.04 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,754.40 | Facility | None | $2,754.23 | $4,466.84 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $275.42 Typical High $467.74 | Professional | None | $141.25 | $275.42 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,737.80 Typical High $2,454.71 | Facility | None | $691.83 | $1,737.80 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $354.81 | Professional | None | $123.03 | $229.09 | $354.81 |
Hometown Health Setting Professional Modifier None Typical Low $134.90 Median $288.40 Typical High $1,995.26 | Professional | None | $134.90 | $288.40 | $1,995.26 |
Hometown Health Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Hometown Health Setting Professional Modifier None Typical Low $0.89 Median $186.21 Typical High $2,511.89 | Professional | None | $0.89 | $186.21 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $288.40 Typical High $4,265.80 | Facility | None | $123.03 | $288.40 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $407.38 | Professional | None | $144.54 | $239.88 | $407.38 |
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 $66.07 Median $100.00 Typical High $134.90 | Professional | 52 · Reduced service | $66.07 | $100.00 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $39.81 Typical High $53.70 | Professional | 53 · Discontinued | $26.30 | $39.81 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $147.91 Typical High $199.53 | Professional | 54 · Surgery only | $100.00 | $147.91 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $29.51 Typical High $40.74 | Professional | 55 · Aftercare only | $19.95 | $29.51 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $19.95 Typical High $26.92 | Professional | 56 · Pre-op care only | $13.18 | $19.95 | $26.92 |
Where Nevada sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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
$275
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.