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 $95.50 Median $2,238.72 Typical High $5,011.87 | Facility | None | $95.50 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $194.98 | Professional | None | $95.50 | $131.83 | $194.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $263.03 | Professional | None | $89.13 | $181.97 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $1,584.89 Typical High $2,187.76 | Facility | None | $537.03 | $1,584.89 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $218.78 | Professional | None | $79.43 | $123.03 | $218.78 |
Hometown Health Setting Professional Modifier None Typical Low $74.13 Median $117.49 Typical High $331.13 | Professional | None | $74.13 | $117.49 | $331.13 |
Hometown Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Hometown Health Setting Professional Modifier None Typical Low $2.29 Median $123.03 Typical High $2,238.72 | Professional | None | $2.29 | $123.03 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $190.55 Typical High $4,265.80 | Facility | None | $83.18 | $190.55 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $190.55 | Professional | None | $70.79 | $102.33 | $190.55 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $3,311.31 | Facility | None | $954.99 | $1,318.26 | $3,311.31 |
United Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $229.09 | Professional | None | $93.33 | $158.49 | $229.09 |
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 $47.86 Median $63.10 Typical High $97.72 | Professional | 52 · Reduced service | $47.86 | $63.10 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $25.12 Typical High $38.90 | Professional | 53 · Discontinued | $19.05 | $25.12 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $95.50 Typical High $144.54 | Professional | 54 · Surgery only | $72.44 | $95.50 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.05 Typical High $28.84 | Professional | 55 · Aftercare only | $14.45 | $19.05 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $12.59 Typical High $19.50 | Professional | 56 · Pre-op care only | $9.55 | $12.59 | $19.50 |
Where Nevada sits
The same service costs 3.6 times more in Alaska than in Washington, DC. 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· 42nd of 51
$148
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.