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 $75.86 Median $1,698.24 Typical High $4,365.16 | Facility | None | $75.86 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $147.91 Typical High $208.93 | Professional | None | $69.18 | $147.91 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $177.83 Typical High $177.83 | Professional | None | $56.23 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $151.36 | Professional | None | $69.18 | $85.11 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $138.04 Typical High $295.12 | Professional | None | $61.66 | $138.04 | $295.12 |
Hometown Health Setting Professional Modifier None Typical Low $60.26 Median $120.23 Typical High $281.84 | Professional | None | $60.26 | $120.23 | $281.84 |
Hometown Health Setting Professional Modifier None Typical Low $0.78 Median $91.20 Typical High $281.84 | Professional | None | $0.78 | $91.20 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $186.21 Typical High $4,265.80 | Facility | None | $60.26 | $186.21 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | None | $46.77 | $46.77 | $60.26 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,412.54 Typical High $2,041.74 | Facility | None | $251.19 | $1,412.54 | $2,041.74 |
United Setting Professional Modifier None Typical Low $69.18 Median $169.82 Typical High $295.12 | Professional | None | $69.18 | $169.82 | $295.12 |
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 $74.13 Typical High $104.71 | Professional | 52 · Reduced service | $34.67 | $74.13 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $29.51 Typical High $41.69 | Professional | 53 · Discontinued | $13.80 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $51.29 Median $112.20 Typical High $158.49 | Professional | 54 · Surgery only | $51.29 | $112.20 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $22.39 Typical High $31.62 | Professional | 55 · Aftercare only | $10.23 | $22.39 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $14.79 Typical High $20.89 | Professional | 56 · Pre-op care only | $6.92 | $14.79 | $20.89 |
Where Nevada sits
The same service costs 3.8 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· 46th of 51
$135
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.