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 $933.25 Median $3,981.07 Typical High $10,715.19 | Facility | None | $933.25 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Professional | None | $933.25 | $933.25 | $1,000.00 |
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 $812.83 Median $977.24 Typical High $1,778.28 | Professional | None | $812.83 | $977.24 | $1,778.28 |
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 $724.44 Median $724.44 Typical High $1,380.38 | Professional | None | $724.44 | $724.44 | $1,380.38 |
Hometown Health Setting Professional Modifier None Typical Low $22.39 Median $954.99 Typical High $1,288.25 | Professional | None | $22.39 | $954.99 | $1,288.25 |
Hometown Health Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $1,096.48 | Professional | None | $19.05 | $19.05 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $4,265.80 | Facility | None | $741.31 | $741.31 | $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 $724.44 Median $1,202.26 Typical High $1,621.81 | Professional | None | $724.44 | $1,202.26 | $1,621.81 |
1 more rate 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 54 · Surgery only Typical Low $691.83 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $691.83 | $707.95 | $707.95 |
Where Nevada sits
The same service costs 3.7 times more in Alaska than in New York. 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· 36th of 51
$1,096
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.