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 $53.70 Median $1,698.24 Typical High $4,365.16 | Facility | None | $53.70 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $181.97 Typical High $229.09 | Professional | None | $48.98 | $181.97 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $93.33 | Professional | None | $50.12 | $57.54 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $741.31 Typical High $2,691.53 | Facility | None | $562.34 | $741.31 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $138.04 Typical High $302.00 | Professional | None | $42.66 | $138.04 | $302.00 |
Hometown Health Setting Professional Modifier None Typical Low $35.48 Median $114.82 Typical High $269.15 | Professional | None | $35.48 | $114.82 | $269.15 |
Hometown Health Setting Professional Modifier None Typical Low $0.78 Median $64.57 Typical High $309.03 | Professional | None | $0.78 | $64.57 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $204.17 Typical High $4,265.80 | Facility | None | $42.66 | $204.17 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $34.67 Median $81.28 Typical High $194.98 | Professional | None | $34.67 | $81.28 | $194.98 |
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 $47.86 Median $144.54 Typical High $281.84 | Professional | None | $47.86 | $144.54 | $281.84 |
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 $24.55 Median $37.15 Typical High $104.71 | Professional | 52 · Reduced service | $24.55 | $37.15 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $14.79 Typical High $41.69 | Professional | 53 · Discontinued | $9.77 | $14.79 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $56.23 Typical High $158.49 | Professional | 54 · Surgery only | $36.31 | $56.23 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $11.22 Typical High $31.62 | Professional | 55 · Aftercare only | $7.24 | $11.22 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $7.41 Typical High $20.89 | Professional | 56 · Pre-op care only | $4.90 | $7.41 | $20.89 |
Where Nevada sits
The same service costs 4.6 times more in Iowa 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· 44th of 51
$93.33
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.