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 $151.36 Median $1,698.24 Typical High $4,365.16 | Facility | None | $151.36 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $338.84 Typical High $478.63 | Professional | None | $151.36 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $302.00 Typical High $524.81 | Professional | None | $141.25 | $302.00 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $2,137.96 | Facility | None | $660.69 | $1,412.54 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $354.81 Typical High $524.81 | Professional | None | $147.91 | $354.81 | $524.81 |
Hometown Health Setting Professional Modifier None Typical Low $154.88 Median $275.42 Typical High $524.81 | Professional | None | $154.88 | $275.42 | $524.81 |
Hometown Health Setting Professional Modifier None Typical Low $1.70 Median $173.78 Typical High $457.09 | Professional | None | $1.70 | $173.78 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $309.03 Typical High $4,265.80 | Facility | None | $117.49 | $309.03 | $4,265.80 |
United Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,949.84 | Facility | None | $97.72 | $234.42 | $1,949.84 |
United Setting Professional Modifier None Typical Low $147.91 Median $363.08 Typical High $537.03 | Professional | None | $147.91 | $363.08 | $537.03 |
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 $112.20 Median $123.03 Typical High $251.19 | Professional | 54 · Surgery only | $112.20 | $123.03 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $24.55 Typical High $51.29 | Professional | 55 · Aftercare only | $22.39 | $24.55 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $16.60 Typical High $33.88 | Professional | 56 · Pre-op care only | $15.14 | $16.60 | $33.88 |
Where Nevada sits
The same service costs 3.4 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· 35th of 51
$339
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.