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 $104.71 Median $2,238.72 Typical High $5,011.87 | Facility | None | $104.71 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $1,412.54 Typical High $1,778.28 | Professional | None | $104.71 | $1,412.54 | $1,778.28 |
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 $93.33 Median $741.31 Typical High $2,344.23 | Professional | None | $93.33 | $741.31 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,630.27 Typical High $3,548.13 | Facility | None | $691.83 | $2,630.27 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $213.80 Typical High $2,290.87 | Professional | None | $85.11 | $213.80 | $2,290.87 |
Hometown Health Setting Professional Modifier None Typical Low $93.33 Median $1,445.44 Typical High $2,884.03 | Professional | None | $93.33 | $1,445.44 | $2,884.03 |
Hometown Health Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $117.49 Typical High $3,715.35 | Professional | None | $1.51 | $117.49 | $3,715.35 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $1,348.96 Typical High $4,265.80 | Facility | None | $77.62 | $1,348.96 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $6,165.95 | Facility | None | $1,621.81 | $2,398.83 | $6,165.95 |
United Setting Professional Modifier None Typical Low $102.33 Median $776.25 Typical High $2,290.87 | Professional | None | $102.33 | $776.25 | $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 $51.29 Median $74.13 Typical High $758.58 | Professional | 52 · Reduced service | $51.29 | $74.13 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $29.51 Typical High $302.00 | Professional | 53 · Discontinued | $20.89 | $29.51 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $112.20 Typical High $1,148.15 | Professional | 54 · Surgery only | $77.62 | $112.20 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $22.39 Typical High $229.09 | Professional | 55 · Aftercare only | $15.49 | $22.39 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $14.79 Typical High $151.36 | Professional | 56 · Pre-op care only | $10.47 | $14.79 | $151.36 |
Where Nevada sits
The same service costs 19.1 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· 23rd of 51
$1,514
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.