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 $309.03 Median $2,570.40 Typical High $5,011.87 | Facility | None | $309.03 | $2,570.40 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $1,122.02 Typical High $1,380.38 | Professional | None | $309.03 | $1,122.02 | $1,380.38 |
Ambetter Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $977.24 | Professional | None | $912.01 | $977.24 | $977.24 |
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 $288.40 Median $1,000.00 Typical High $1,778.28 | Professional | None | $288.40 | $1,000.00 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $2,454.71 | Facility | None | $1,348.96 | $1,778.28 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $1,230.27 Typical High $1,949.84 | Professional | None | $302.00 | $1,230.27 | $1,949.84 |
Hometown Health Setting Professional Modifier None Typical Low $316.23 Median $1,258.93 Typical High $2,187.76 | Professional | None | $316.23 | $1,258.93 | $2,187.76 |
Hometown Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Hometown Health Setting Professional Modifier None Typical Low $3.47 Median $363.08 Typical High $2,570.40 | Professional | None | $3.47 | $363.08 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $977.24 Typical High $4,265.80 | Facility | None | $239.88 | $977.24 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $295.12 Median $1,122.02 Typical High $2,041.74 | Professional | None | $295.12 | $1,122.02 | $2,041.74 |
3 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 54 · Surgery only Typical Low $229.09 Median $257.04 Typical High $831.76 | Professional | 54 · Surgery only | $229.09 | $257.04 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $51.29 Typical High $169.82 | Professional | 55 · Aftercare only | $45.71 | $51.29 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $33.88 Typical High $112.20 | Professional | 56 · Pre-op care only | $30.90 | $33.88 | $112.20 |
Where Nevada sits
The same service costs 4.8 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· 21st 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.