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 $186.21 Median $4,786.30 Typical High $7,585.78 | Facility | None | $186.21 | $4,786.30 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $2,754.23 Typical High $3,162.28 | Professional | None | $177.83 | $2,754.23 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $354.81 | Professional | None | $165.96 | $199.53 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,570.88 Typical High $6,309.57 | Facility | None | $691.83 | $4,570.88 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $2,398.83 Typical High $3,467.37 | Professional | None | $138.04 | $2,398.83 | $3,467.37 |
Hometown Health Setting Professional Modifier None Typical Low $147.91 Median $2,511.89 Typical High $5,248.07 | Professional | None | $147.91 | $2,511.89 | $5,248.07 |
Hometown Health Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Hometown Health Setting Professional Modifier None Typical Low $213.80 Median $3,630.78 Typical High $6,606.93 | Professional | None | $213.80 | $3,630.78 | $6,606.93 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $2,398.83 Typical High $4,265.80 | Facility | None | $144.54 | $2,398.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,918.31 | Facility | None | $1,621.81 | $2,398.83 | $6,918.31 |
United Setting Professional Modifier None Typical Low $173.78 Median $2,398.83 Typical High $4,466.84 | Professional | None | $173.78 | $2,398.83 | $4,466.84 |
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 $89.13 Median $144.54 Typical High $1,445.44 | Professional | 52 · Reduced service | $89.13 | $144.54 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $58.88 Typical High $575.44 | Professional | 53 · Discontinued | $35.48 | $58.88 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $218.78 Typical High $2,187.76 | Professional | 54 · Surgery only | $131.83 | $218.78 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $43.65 Typical High $436.52 | Professional | 55 · Aftercare only | $26.30 | $43.65 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $29.51 Typical High $288.40 | Professional | 56 · Pre-op care only | $17.78 | $29.51 | $288.40 |
Where Nevada sits
The same service costs 33.1 times more in Alaska 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· 26th of 51
$2,399
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.