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 $2,818.38 Median $2,884.03 Typical High $3,090.30 | Professional | None | $2,818.38 | $2,884.03 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,495.41 Median $9,772.37 Typical High $12,302.69 | Facility | None | $5,495.41 | $9,772.37 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,019.95 Typical High $5,495.41 | Professional | None | $2,454.71 | $3,019.95 | $5,495.41 |
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 $2,089.30 Median $2,290.87 Typical High $4,073.80 | Professional | None | $2,089.30 | $2,290.87 | $4,073.80 |
Hometown Health Setting Professional Modifier None Typical Low $37.15 Median $2,754.23 Typical High $3,890.45 | Professional | None | $37.15 | $2,754.23 | $3,890.45 |
Hometown Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $3,388.44 | Professional | None | $31.62 | $31.62 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $4,265.80 | Facility | None | $2,238.72 | $2,238.72 | $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 $2,089.30 Median $3,162.28 Typical High $4,466.84 | Professional | None | $2,089.30 | $3,162.28 | $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 $1,412.54 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,412.54 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $562.34 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 54 · Surgery only | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $281.84 | $288.40 | $288.40 |
Where Nevada sits
The same service costs 5.8 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· 38th of 51
$2,884
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.