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 $125.89 Median $2,238.72 Typical High $5,011.87 | Facility | None | $125.89 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $257.04 Typical High $309.03 | Professional | None | $125.89 | $257.04 | $309.03 |
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 $114.82 Median $234.42 Typical High $389.05 | Professional | None | $114.82 | $234.42 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $977.24 | Facility | None | $501.19 | $707.95 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $173.78 Typical High $354.81 | Professional | None | $91.20 | $173.78 | $354.81 |
Hometown Health Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $851.14 | Professional | None | $109.65 | $229.09 | $851.14 |
Hometown Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Hometown Health Setting Professional Modifier None Typical Low $0.60 Median $144.54 Typical High $1,023.29 | Professional | None | $0.60 | $144.54 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $257.04 Typical High $4,265.80 | Facility | None | $95.50 | $257.04 | $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 $114.82 Median $194.98 Typical High $380.19 | Professional | None | $114.82 | $194.98 | $380.19 |
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 $61.66 Median $69.18 Typical High $131.83 | Professional | 52 · Reduced service | $61.66 | $69.18 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $27.54 Typical High $52.48 | Professional | 53 · Discontinued | $25.12 | $27.54 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $102.33 Typical High $194.98 | Professional | 54 · Surgery only | $93.33 | $102.33 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $20.89 Typical High $38.90 | Professional | 55 · Aftercare only | $18.62 | $20.89 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $13.80 Typical High $26.30 | Professional | 56 · Pre-op care only | $12.59 | $13.80 | $26.30 |
Where Nevada sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 33rd of 51
$269
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.