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 $446.68 Median $4,786.30 Typical High $7,244.36 | Facility | None | $446.68 | $4,786.30 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $4,265.80 | Professional | None | $436.52 | $446.68 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,570.88 Typical High $8,511.38 | Facility | None | $2,754.23 | $4,570.88 | $8,511.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $1,318.26 | Professional | None | $380.19 | $478.63 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $2,137.96 | Facility | None | $562.34 | $758.58 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $537.03 Typical High $977.24 | Professional | None | $524.81 | $537.03 | $977.24 |
Hometown Health Setting Professional Modifier None Typical Low $6.46 Median $537.03 Typical High $691.83 | Professional | None | $6.46 | $537.03 | $691.83 |
Hometown Health Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $512.86 | Professional | None | $5.50 | $5.50 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $4,265.80 | Facility | None | $346.74 | $346.74 | $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 $407.38 Median $616.60 Typical High $831.76 | Professional | None | $407.38 | $616.60 | $831.76 |
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 $218.78 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $218.78 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 54 · Surgery only | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $43.65 | $44.67 | $44.67 |
Where Nevada sits
The same service costs 3.7 times more in Wisconsin 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· 29th of 51
$676
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.