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 $223.87 Median $2,238.72 Typical High $5,011.87 | Facility | None | $223.87 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $1,023.29 Typical High $1,174.90 | Professional | None | $223.87 | $1,023.29 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,754.40 | Facility | None | $2,754.23 | $4,466.84 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $870.96 Typical High $1,737.80 | Professional | None | $194.98 | $870.96 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $977.24 Typical High $1,621.81 | Professional | None | $181.97 | $977.24 | $1,621.81 |
Hometown Health Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $1,513.56 | Professional | None | $181.97 | $346.74 | $1,513.56 |
Hometown Health Setting Professional Modifier None Typical Low $2.69 Median $257.04 Typical High $1,412.54 | Professional | None | $2.69 | $257.04 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $954.99 Typical High $4,265.80 | Facility | None | $173.78 | $954.99 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $173.78 | Professional | None | $131.83 | $131.83 | $173.78 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $4,073.80 Typical High $9,332.54 | Facility | None | $1,905.46 | $4,073.80 | $9,332.54 |
United Setting Professional Modifier None Typical Low $208.93 Median $977.24 Typical High $1,698.24 | Professional | None | $208.93 | $977.24 | $1,698.24 |
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 $112.20 Median $302.00 Typical High $562.34 | Professional | 52 · Reduced service | $112.20 | $302.00 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $120.23 Typical High $223.87 | Professional | 53 · Discontinued | $44.67 | $120.23 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $446.68 Typical High $851.14 | Professional | 54 · Surgery only | $169.82 | $446.68 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $89.13 Typical High $169.82 | Professional | 55 · Aftercare only | $33.88 | $89.13 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $60.26 Typical High $112.20 | Professional | 56 · Pre-op care only | $22.39 | $60.26 | $112.20 |
Where Nevada sits
The same service costs 5.9 times more in Wisconsin than in Maryland. 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· 24th of 51
$977
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.