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 $128.82 Median $2,238.72 Typical High $5,011.87 | Facility | None | $128.82 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $257.04 Typical High $295.12 | Professional | None | $123.03 | $257.04 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $446.68 | Professional | None | $114.82 | $257.04 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $891.25 Typical High $1,288.25 | Facility | None | $501.19 | $891.25 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $194.98 Typical High $346.74 | Professional | None | $104.71 | $194.98 | $346.74 |
Hometown Health Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $1,047.13 | Professional | None | $109.65 | $229.09 | $1,047.13 |
Hometown Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Hometown Health Setting Professional Modifier None Typical Low $1.20 Median $154.88 Typical High $1,318.26 | Professional | None | $1.20 | $154.88 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $269.15 Typical High $4,265.80 | Facility | None | $102.33 | $269.15 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
United Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,884.03 | Facility | None | $467.74 | $724.44 | $2,884.03 |
United Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $380.19 | Professional | None | $117.49 | $239.88 | $380.19 |
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 $61.66 Median $107.15 Typical High $147.91 | Professional | 52 · Reduced service | $61.66 | $107.15 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $42.66 Typical High $58.88 | Professional | 53 · Discontinued | $24.55 | $42.66 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $162.18 Typical High $223.87 | Professional | 54 · Surgery only | $93.33 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $32.36 Typical High $44.67 | Professional | 55 · Aftercare only | $18.62 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $21.38 Typical High $29.51 | Professional | 56 · Pre-op care only | $12.30 | $21.38 | $29.51 |
Where Nevada sits
The same service costs 3.9 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· 34th of 51
$269
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.