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 $389.05 Median $2,238.72 Typical High $5,011.87 | Facility | None | $389.05 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $2,041.74 Typical High $2,290.87 | Professional | None | $380.19 | $2,041.74 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $1,778.28 Typical High $3,467.37 | Professional | None | $346.74 | $1,778.28 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $1,905.46 Typical High $3,388.44 | Professional | None | $331.13 | $1,905.46 | $3,388.44 |
Hometown Health Setting Professional Modifier None Typical Low $323.59 Median $616.60 Typical High $3,019.95 | Professional | None | $323.59 | $616.60 | $3,019.95 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $446.68 Typical High $2,818.38 | Professional | None | $5.62 | $446.68 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $1,905.46 Typical High $4,265.80 | Facility | None | $302.00 | $1,905.46 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | None | $229.09 | $229.09 | $302.00 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $6,165.95 Typical High $11,481.54 | Facility | None | $3,019.95 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $371.54 Median $1,905.46 Typical High $3,388.44 | Professional | None | $371.54 | $1,905.46 | $3,388.44 |
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 $190.55 Median $537.03 Typical High $1,148.15 | Professional | 52 · Reduced service | $190.55 | $537.03 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $218.78 Typical High $457.09 | Professional | 53 · Discontinued | $75.86 | $218.78 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $812.83 Typical High $1,698.24 | Professional | 54 · Surgery only | $288.40 | $812.83 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $162.18 Typical High $338.84 | Professional | 55 · Aftercare only | $57.54 | $162.18 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $109.65 Typical High $229.09 | Professional | 56 · Pre-op care only | $38.02 | $109.65 | $229.09 |
Where Nevada sits
The same service costs 6.9 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· 29th of 51
$1,905
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.