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 $208.93 Median $3,981.07 Typical High $10,715.19 | Facility | None | $208.93 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $537.03 | Professional | None | $208.93 | $208.93 | $537.03 |
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 $194.98 Median $239.88 Typical High $758.58 | Professional | None | $194.98 | $239.88 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $912.01 Typical High $6,309.57 | Facility | None | $562.34 | $912.01 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $912.01 | Professional | None | $199.53 | $281.84 | $912.01 |
Hometown Health Setting Professional Modifier None Typical Low $20.89 Median $75.86 Typical High $199.53 | Professional | None | $20.89 | $75.86 | $199.53 |
Hometown Health Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $4,265.80 | Facility | None | $204.17 | $204.17 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
United Setting Facility Modifier None Typical Low $302.00 Median $794.33 Typical High $2,951.21 | Facility | None | $302.00 | $794.33 | $2,951.21 |
United Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $316.23 | Professional | None | $151.36 | $194.98 | $316.23 |
3 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 54 · Surgery only Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | 54 · Surgery only | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $25.70 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $25.70 |
Where Nevada sits
The same service costs 10.5 times more in North Dakota 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· 40th of 51
$257
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.