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 $218.78 Median $2,238.72 Typical High $5,011.87 | Facility | None | $218.78 | $2,238.72 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $741.31 Typical High $912.01 | Professional | None | $218.78 | $741.31 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,466.84 Typical High $5,754.40 | Facility | None | $2,754.23 | $4,466.84 | $5,754.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $741.31 Typical High $1,513.56 | Professional | None | $204.17 | $741.31 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $660.69 Typical High $1,288.25 | Professional | None | $177.83 | $660.69 | $1,288.25 |
Hometown Health Setting Professional Modifier None Typical Low $181.97 Median $354.81 Typical High $1,258.93 | Professional | None | $181.97 | $354.81 | $1,258.93 |
Hometown Health Setting Professional Modifier None Typical Low $2.63 Median $269.15 Typical High $1,202.26 | Professional | None | $2.63 | $269.15 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $181.97 Median $812.83 Typical High $4,265.80 | Facility | None | $181.97 | $812.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | None | $138.04 | $138.04 | $181.97 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $4,073.80 Typical High $9,332.54 | Facility | None | $1,905.46 | $4,073.80 | $9,332.54 |
United Setting Professional Modifier None Typical Low $218.78 Median $812.83 Typical High $1,258.93 | Professional | None | $218.78 | $812.83 | $1,258.93 |
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 $109.65 Median $309.03 Typical High $457.09 | Professional | 52 · Reduced service | $109.65 | $309.03 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $123.03 Typical High $181.97 | Professional | 53 · Discontinued | $43.65 | $123.03 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $467.74 Typical High $676.08 | Professional | 54 · Surgery only | $162.18 | $467.74 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $93.33 Typical High $134.90 | Professional | 55 · Aftercare only | $32.36 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $61.66 Typical High $91.20 | Professional | 56 · Pre-op care only | $21.88 | $61.66 | $91.20 |
Where Nevada sits
The same service costs 5.4 times more in Wisconsin than in Maryland. 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· 32nd of 51
$759
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.