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 $741.31 Median $1,698.24 Typical High $4,466.84 | Facility | None | $741.31 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $741.31 | Professional | None | $676.08 | $676.08 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $1,258.93 | Professional | None | $676.08 | $776.25 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $2,137.96 | Facility | None | $562.34 | $758.58 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $954.99 | Professional | None | $537.03 | $575.44 | $954.99 |
Hometown Health Setting Professional Modifier None Typical Low $7.76 Median $524.81 Typical High $954.99 | Professional | None | $7.76 | $524.81 | $954.99 |
Hometown Health Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $870.96 | Professional | None | $5.75 | $5.75 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $4,265.80 | Facility | None | $575.44 | $575.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $1,202.26 | Professional | None | $467.74 | $575.44 | $1,202.26 |
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 $537.03 Median $707.95 Typical High $1,047.13 | Professional | None | $537.03 | $707.95 | $1,047.13 |
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 $338.84 Median $338.84 Typical High $371.54 | Professional | 52 · Reduced service | $338.84 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | 53 · Discontinued | $134.90 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | 54 · Surgery only | $501.19 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $74.13 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $74.13 |
Where Nevada sits
The same service costs 4.7 times more in Alaska than in Utah. 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
$708
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.