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 $52.48 Median $2,238.72 Typical High $5,011.87 | Facility | None | $52.48 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $123.03 Typical High $169.82 | Professional | None | $52.48 | $123.03 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $102.33 | Professional | None | $41.69 | $41.69 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $107.15 Typical High $204.17 | Professional | None | $46.77 | $107.15 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $218.78 | Professional | None | $43.65 | $85.11 | $218.78 |
Hometown Health Setting Professional Modifier None Typical Low $42.66 Median $81.28 Typical High $181.97 | Professional | None | $42.66 | $81.28 | $181.97 |
Hometown Health Setting Professional Modifier None Typical Low $0.89 Median $61.66 Typical High $165.96 | Professional | None | $0.89 | $61.66 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $112.20 Typical High $4,265.80 | Facility | None | $40.74 | $112.20 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | None | $30.90 | $30.90 | $40.74 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,412.54 Typical High $2,041.74 | Facility | None | $251.19 | $1,412.54 | $2,041.74 |
United Setting Professional Modifier None Typical Low $50.12 Median $112.20 Typical High $218.78 | Professional | None | $50.12 | $112.20 | $218.78 |
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 $26.30 Median $61.66 Typical High $64.57 | Professional | 52 · Reduced service | $26.30 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $10.47 | $24.55 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.90 Median $91.20 Typical High $97.72 | Professional | 54 · Surgery only | $38.90 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $18.20 Typical High $19.50 | Professional | 55 · Aftercare only | $7.76 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $12.30 Typical High $13.18 | Professional | 56 · Pre-op care only | $5.25 | $12.30 | $13.18 |
Where Nevada sits
The same service costs 2.8 times more in Wisconsin than in Florida. 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· 38th of 51
$112
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.