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 $467.74 Median $3,981.07 Typical High $10,715.19 | Facility | None | $467.74 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $512.86 | Professional | None | $467.74 | $478.63 | $512.86 |
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 $416.87 Median $501.19 Typical High $933.25 | Professional | None | $416.87 | $501.19 | $933.25 |
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 $371.54 Median $398.11 Typical High $676.08 | Professional | None | $371.54 | $398.11 | $676.08 |
Hometown Health Setting Professional Modifier None Typical Low $7.08 Median $489.78 Typical High $660.69 | Professional | None | $7.08 | $489.78 | $660.69 |
Hometown Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $562.34 | Professional | None | $6.03 | $6.03 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $4,265.80 | Facility | None | $380.19 | $380.19 | $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 $371.54 Median $524.81 Typical High $724.44 | Professional | None | $371.54 | $524.81 | $724.44 |
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 $234.42 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $234.42 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $46.77 | $47.86 | $47.86 |
Where Nevada sits
The same service costs 4.1 times more in Wisconsin 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· 32nd of 51
$617
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.