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 $2,238.72 Median $3,981.07 Typical High $10,715.19 | Facility | None | $2,238.72 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,981.07 | Professional | None | $3,801.89 | $3,801.89 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $8,128.31 Typical High $11,220.18 | Facility | None | $4,897.79 | $8,128.31 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $7,244.36 | Professional | None | $3,311.31 | $4,073.80 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $6,309.57 | Facility | None | $562.34 | $912.01 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,019.95 Typical High $5,495.41 | Professional | None | $2,818.38 | $3,019.95 | $5,495.41 |
Hometown Health Setting Professional Modifier None Typical Low $36.31 Median $3,715.35 Typical High $5,248.07 | Professional | None | $36.31 | $3,715.35 | $5,248.07 |
Hometown Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $4,677.35 | Professional | None | $30.90 | $30.90 | $4,677.35 |
Select Health Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,265.80 | Facility | None | $3,090.30 | $3,090.30 | $4,265.80 |
United Setting Facility Modifier None Typical Low $302.00 Median $794.33 Typical High $2,951.21 | Facility | None | $302.00 | $794.33 | $2,951.21 |
United Setting Professional Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $5,888.44 | Professional | None | $2,818.38 | $4,168.69 | $5,888.44 |
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,818.38 Median $2,884.03 Typical High $2,884.03 | Professional | 54 · Surgery only | $2,818.38 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $380.19 | $380.19 | $380.19 |
Where Nevada sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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· 37th of 51
$3,802
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.