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 $281.84 Median $2,238.72 Typical High $5,011.87 | Facility | None | $281.84 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $870.96 Typical High $1,174.90 | Professional | None | $281.84 | $870.96 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $741.31 | Professional | None | $173.78 | $223.87 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $741.31 Typical High $1,445.44 | Professional | None | $245.47 | $741.31 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $1,445.44 | Professional | None | $234.42 | $446.68 | $1,445.44 |
Hometown Health Setting Professional Modifier None Typical Low $223.87 Median $426.58 Typical High $1,230.27 | Professional | None | $223.87 | $426.58 | $1,230.27 |
Hometown Health Setting Professional Modifier None Typical Low $4.47 Median $323.59 Typical High $1,202.26 | Professional | None | $4.47 | $323.59 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $794.33 Typical High $4,265.80 | Facility | None | $213.80 | $794.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $213.80 | Professional | None | $165.96 | $165.96 | $213.80 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,412.54 Typical High $1,995.26 | Facility | None | $251.19 | $1,412.54 | $1,995.26 |
United Setting Professional Modifier None Typical Low $263.03 Median $707.95 Typical High $1,479.11 | Professional | None | $263.03 | $707.95 | $1,479.11 |
6 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 $138.04 Median $380.19 Typical High $478.63 | Professional | 52 · Reduced service | $138.04 | $380.19 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $151.36 Typical High $190.55 | Professional | 53 · Discontinued | $56.23 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $562.34 Typical High $707.95 | Professional | 54 · Surgery only | $208.93 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $112.20 Typical High $141.25 | Professional | 55 · Aftercare only | $41.69 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $75.86 Typical High $95.50 | Professional | 56 · Pre-op care only | $28.18 | $75.86 | $95.50 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $1,174.90 Typical High $1,862.09 | Professional | 50 · Both sides | $363.08 | $1,174.90 | $1,862.09 |
Where Nevada sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 33rd of 51
$741
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.