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 $87.10 Median $1,698.24 Typical High $4,365.16 | Facility | None | $87.10 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $151.36 | Professional | None | $70.79 | $107.15 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $199.53 | Professional | None | $67.61 | $117.49 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $107.15 Typical High $234.42 | Professional | None | $57.54 | $107.15 | $234.42 |
Hometown Health Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $173.78 | Professional | None | $57.54 | $89.13 | $173.78 |
Hometown Health Setting Professional Modifier None Typical Low $0.30 Median $91.20 Typical High $173.78 | Professional | None | $0.30 | $91.20 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $117.49 Typical High $4,265.80 | Facility | None | $61.66 | $117.49 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $61.66 | Professional | None | $46.77 | $46.77 | $61.66 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,412.54 Typical High $2,041.74 | Facility | None | $251.19 | $1,412.54 | $2,041.74 |
United Setting Professional Modifier None Typical Low $51.29 Median $109.65 Typical High $181.97 | Professional | None | $51.29 | $109.65 | $181.97 |
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 $34.67 Median $54.95 Typical High $75.86 | Professional | 52 · Reduced service | $34.67 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $14.13 | $21.88 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $52.48 Median $81.28 Typical High $114.82 | Professional | 54 · Surgery only | $52.48 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $16.22 Typical High $22.91 | Professional | 55 · Aftercare only | $10.47 | $16.22 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $10.96 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.08 | $10.96 | $15.14 |
Where Nevada sits
The same service costs 3.2 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· 36th of 51
$112
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.