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 $331.13 Median $2,570.40 Typical High $6,165.95 | Facility | None | $331.13 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $338.84 | Professional | None | $269.15 | $269.15 | $338.84 |
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 $257.04 Median $309.03 Typical High $575.44 | Professional | None | $257.04 | $309.03 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,905.46 Typical High $2,630.27 | Facility | None | $616.60 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $426.58 | Professional | None | $223.87 | $223.87 | $426.58 |
Hometown Health Setting Professional Modifier None Typical Low $3.09 Median $263.03 Typical High $398.11 | Professional | None | $3.09 | $263.03 | $398.11 |
Hometown Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Hometown Health Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $338.84 | Professional | None | $2.63 | $2.63 | $338.84 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $4,265.80 | Facility | None | $229.09 | $229.09 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
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 $229.09 Median $281.84 Typical High $436.52 | Professional | None | $229.09 | $281.84 | $436.52 |
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 $204.17 Median $204.17 Typical High $251.19 | Professional | 54 · Surgery only | $204.17 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $50.12 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $33.11 |
Where Nevada sits
The same service costs 7.2 times more in Oklahoma than in New York. 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
$347
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.