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 $57.54 Median $2,137.96 Typical High $10,715.19 | Facility | None | $57.54 | $2,137.96 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $93.33 Typical High $117.49 | Professional | None | $57.54 | $93.33 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $89.13 Typical High $147.91 | Professional | None | $54.95 | $89.13 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,122.02 Typical High $2,691.53 | Facility | None | $660.69 | $1,122.02 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $85.11 Typical High $158.49 | Professional | None | $51.29 | $85.11 | $158.49 |
Hometown Health Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $144.54 | Professional | None | $53.70 | $87.10 | $144.54 |
Hometown Health Setting Professional Modifier None Typical Low $0.60 Median $67.61 Typical High $128.82 | Professional | None | $0.60 | $67.61 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $85.11 Typical High $4,265.80 | Facility | None | $44.67 | $85.11 | $4,265.80 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $1,949.84 | Facility | None | $97.72 | $245.47 | $1,949.84 |
United Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $162.18 | Professional | None | $54.95 | $87.10 | $162.18 |
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 $28.84 Median $32.36 Typical High $46.77 | Professional | 52 · Reduced service | $28.84 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.18 Typical High $18.62 | Professional | 53 · Discontinued | $11.48 | $13.18 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $43.65 Median $48.98 Typical High $69.18 | Professional | 54 · Surgery only | $43.65 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $9.77 Typical High $14.13 | Professional | 55 · Aftercare only | $8.71 | $9.77 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.46 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.75 | $6.46 | $9.33 |
Where Nevada sits
The same service costs 3.7 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· 41st of 51
$93.33
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.