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 $89.13 Median $1,698.24 Typical High $4,365.16 | Facility | None | $89.13 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $416.87 Typical High $602.56 | Professional | None | $87.10 | $416.87 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $6,760.83 Typical High $12,589.25 | Facility | None | $3,235.94 | $6,760.83 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $380.19 Typical High $660.69 | Professional | None | $83.18 | $380.19 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $912.01 | Facility | None | $363.08 | $446.68 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $338.84 Typical High $602.56 | Professional | None | $74.13 | $338.84 | $602.56 |
Hometown Health Setting Professional Modifier None Typical Low $91.20 Median $398.11 Typical High $616.60 | Professional | None | $91.20 | $398.11 | $616.60 |
Hometown Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Hometown Health Setting Professional Modifier None Typical Low $1.20 Median $107.15 Typical High $549.54 | Professional | None | $1.20 | $107.15 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $363.08 Typical High $4,265.80 | Facility | None | $72.44 | $363.08 | $4,265.80 |
United Setting Facility Modifier None Typical Low $302.00 Median $512.86 Typical High $3,019.95 | Facility | None | $302.00 | $512.86 | $3,019.95 |
United Setting Professional Modifier None Typical Low $93.33 Median $363.08 Typical High $645.65 | Professional | None | $93.33 | $363.08 | $645.65 |
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 $43.65 Median $48.98 Typical High $208.93 | Professional | 52 · Reduced service | $43.65 | $48.98 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $19.50 Typical High $83.18 | Professional | 53 · Discontinued | $17.38 | $19.50 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $74.13 Typical High $316.23 | Professional | 54 · Surgery only | $66.07 | $74.13 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $14.79 Typical High $63.10 | Professional | 55 · Aftercare only | $13.18 | $14.79 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $9.77 Typical High $41.69 | Professional | 56 · Pre-op care only | $8.71 | $9.77 | $41.69 |
Where Nevada sits
The same service costs 7.8 times more in Oklahoma 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· 37th of 51
$417
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.