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 $30.20 Median $33.11 Typical High $57.54 | Facility | None | $30.20 | $33.11 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $57.54 | Professional | None | $30.20 | $47.86 | $57.54 |
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 $30.90 Median $35.48 Typical High $57.54 | Professional | None | $30.90 | $35.48 | $57.54 |
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 $27.54 Median $44.67 Typical High $70.79 | Professional | None | $27.54 | $44.67 | $70.79 |
Hometown Health Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $72.44 | Professional | None | $21.88 | $36.31 | $72.44 |
Hometown Health Setting Professional Modifier None Typical Low $1.20 Median $38.90 Typical High $81.28 | Professional | None | $1.20 | $38.90 | $81.28 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $54.95 Typical High $4,265.80 | Facility | None | $25.70 | $54.95 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $43.65 Typical High $54.95 | Professional | None | $20.89 | $43.65 | $54.95 |
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 $25.12 Median $47.86 Typical High $75.86 | Professional | None | $25.12 | $47.86 | $75.86 |
4 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 $15.14 Median $23.99 Typical High $26.92 | Professional | 52 · Reduced service | $15.14 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $9.55 Typical High $10.96 | Professional | 53 · Discontinued | $6.03 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $7.24 Typical High $8.13 | Professional | 55 · Aftercare only | $4.57 | $7.24 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $4.79 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.02 | $4.79 | $5.50 |
Where Nevada sits
The same service costs 3.6 times more in Alaska than in Virginia. 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· 48th of 51
$44.67
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.