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 $478.63 Median $2,570.40 Typical High $6,165.95 | Facility | None | $478.63 | $2,570.40 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $645.65 | Professional | None | $389.05 | $389.05 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $6,165.95 | Facility | None | $2,951.21 | $4,677.35 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $724.44 | Professional | None | $323.59 | $389.05 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $8,128.31 Typical High $11,748.98 | Facility | None | $691.83 | $8,128.31 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $851.14 | Professional | None | $323.59 | $501.19 | $851.14 |
Hometown Health Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $478.63 Typical High $4,265.80 | Facility | None | $186.21 | $478.63 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,348.96 Typical High $3,311.31 | Facility | None | $954.99 | $1,348.96 | $3,311.31 |
United Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $707.95 | Professional | None | $380.19 | $457.09 | $707.95 |
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 $194.98 Median $194.98 Typical High $239.88 | Professional | 52 · Reduced service | $194.98 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $288.40 Typical High $354.81 | Professional | 54 · Surgery only | $288.40 | $288.40 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $47.86 |
Where Nevada sits
The same service costs 5.9 times more in Arkansas 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· 36th of 51
$603
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.