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 $83.18 Median $1,698.24 Typical High $4,365.16 | Facility | None | $83.18 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | None | $83.18 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $177.83 | Professional | None | $77.62 | $109.65 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $165.96 | Professional | None | $66.07 | $104.71 | $165.96 |
Hometown Health Setting Professional Modifier None Typical Low $64.57 Median $102.33 Typical High $165.96 | Professional | None | $64.57 | $102.33 | $165.96 |
Hometown Health Setting Professional Modifier None Typical Low $0.60 Median $109.65 Typical High $165.96 | Professional | None | $0.60 | $109.65 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $109.65 Typical High $4,265.80 | Facility | None | $72.44 | $109.65 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | None | $54.95 | $54.95 | $72.44 |
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 $79.43 Median $104.71 Typical High $165.96 | Professional | None | $79.43 | $104.71 | $165.96 |
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 $41.69 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $41.69 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $16.60 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $81.28 Typical High $83.18 | Professional | 54 · Surgery only | $61.66 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $16.22 Typical High $16.60 | Professional | 55 · Aftercare only | $12.30 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.72 Typical High $10.96 | Professional | 56 · Pre-op care only | $8.32 | $10.72 | $10.96 |
Where Nevada sits
The same service costs 3.8 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
$110
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.