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 $131.83 Median $2,238.72 Typical High $5,011.87 | Facility | None | $131.83 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $1,479.11 Typical High $2,137.96 | Professional | None | $131.83 | $1,479.11 | $2,137.96 |
Ambetter Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $1,318.26 Typical High $2,290.87 | Professional | None | $114.82 | $1,318.26 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,288.25 Typical High $1,778.28 | Facility | None | $741.31 | $1,288.25 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $1,288.25 Typical High $2,137.96 | Professional | None | $97.72 | $1,288.25 | $2,137.96 |
Hometown Health Setting Professional Modifier None Typical Low $123.03 Median $1,412.54 Typical High $2,089.30 | Professional | None | $123.03 | $1,412.54 | $2,089.30 |
Hometown Health Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $154.88 Typical High $1,949.84 | Professional | None | $1.51 | $154.88 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $1,288.25 Typical High $4,265.80 | Facility | None | $102.33 | $1,288.25 | $4,265.80 |
United Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $2,884.03 | Facility | None | $467.74 | $776.25 | $2,884.03 |
United Setting Professional Modifier None Typical Low $128.82 Median $1,348.96 Typical High $2,290.87 | Professional | None | $128.82 | $1,348.96 | $2,290.87 |
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 $64.57 Median $72.44 Typical High $741.31 | Professional | 52 · Reduced service | $64.57 | $72.44 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $295.12 | Professional | 53 · Discontinued | $26.30 | $28.84 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $109.65 Typical High $1,122.02 | Professional | 54 · Surgery only | $97.72 | $109.65 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $21.88 Typical High $223.87 | Professional | 55 · Aftercare only | $19.50 | $21.88 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $14.45 Typical High $147.91 | Professional | 56 · Pre-op care only | $13.18 | $14.45 | $147.91 |
Where Nevada sits
The same service costs 10.5 times more in Alaska 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· 22nd of 51
$1,349
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.