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 $269.15 Median $1,698.24 Typical High $4,466.84 | Facility | None | $269.15 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $4,677.35 Typical High $6,165.95 | Facility | None | $1,096.48 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $288.40 Typical High $467.74 | Professional | None | $257.04 | $288.40 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $5,011.87 Typical High $7,244.36 | Facility | None | $741.31 | $5,011.87 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $346.74 | Professional | None | $208.93 | $229.09 | $346.74 |
Hometown Health Setting Professional Modifier None Typical Low $6.46 Median $245.47 Typical High $338.84 | Professional | None | $6.46 | $245.47 | $338.84 |
Hometown Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Hometown Health Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $338.84 | Professional | None | $4.79 | $4.79 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $4,265.80 | Facility | None | $223.87 | $223.87 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $478.63 | Professional | None | $158.49 | $208.93 | $478.63 |
United Setting Facility Modifier None Typical Low $467.74 Median $776.25 Typical High $2,884.03 | Facility | None | $467.74 | $776.25 | $2,884.03 |
United Setting Professional Modifier None Typical Low $223.87 Median $257.04 Typical High $346.74 | Professional | None | $223.87 | $257.04 | $346.74 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $26.92 |
Where Nevada sits
The same service costs 4.3 times more in Alaska 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· 43rd 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.