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 $9.55 Median $9.55 Typical High $32.36 | Facility | None | $9.55 | $9.55 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $15.49 Typical High $32.36 | Professional | None | $9.55 | $15.49 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $26.92 Typical High $50.12 | Professional | None | $9.12 | $26.92 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,122.02 Typical High $2,691.53 | Facility | None | $660.69 | $1,122.02 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $21.88 Typical High $45.71 | Professional | None | $8.13 | $21.88 | $45.71 |
Hometown Health Setting Professional Modifier None Typical Low $0.09 Median $0.71 Typical High $89.13 | Professional | None | $0.09 | $0.71 | $89.13 |
Hometown Health Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | None | $0.60 | $0.60 | $0.60 |
Select Health Setting Facility Modifier None Typical Low $7.94 Median $31.62 Typical High $4,265.80 | Facility | None | $7.94 | $31.62 | $4,265.80 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $1,949.84 | Facility | None | $97.72 | $245.47 | $1,949.84 |
United Setting Professional Modifier None Typical Low $9.33 Median $20.89 Typical High $45.71 | Professional | None | $9.33 | $20.89 | $45.71 |
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 $4.79 Median $5.62 Typical High $16.22 | Professional | 52 · Reduced service | $4.79 | $5.62 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.24 Typical High $6.46 | Professional | 53 · Discontinued | $1.91 | $2.24 | $6.46 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $7.08 Median $8.51 Typical High $24.55 | Professional | 54 · Surgery only | $7.08 | $8.51 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.45 Median $1.70 Typical High $4.90 | Professional | 55 · Aftercare only | $1.45 | $1.70 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.95 Median $1.12 Typical High $3.24 | Professional | 56 · Pre-op care only | $0.95 | $1.12 | $3.24 |
Where Nevada sits
The same service costs 4.2 times more in Wisconsin than in Nebraska. 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· 34th of 51
$29.51
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.