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 $467.74 Median $1,698.24 Typical High $4,466.84 | Facility | None | $467.74 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $645.65 | Professional | None | $467.74 | $467.74 | $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 $446.68 Median $537.03 Typical High $954.99 | Professional | None | $446.68 | $537.03 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,511.89 Typical High $3,467.37 | Facility | None | $1,318.26 | $2,511.89 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $741.31 | Professional | None | $363.08 | $446.68 | $741.31 |
Hometown Health Setting Professional Modifier None Typical Low $5.13 Median $457.09 Typical High $660.69 | Professional | None | $5.13 | $457.09 | $660.69 |
Hometown Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Hometown Health Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $575.44 | Professional | None | $4.37 | $4.37 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $4,265.80 | Facility | None | $380.19 | $380.19 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,073.80 | Facility | None | $1,174.90 | $1,698.24 | $4,073.80 |
United Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $758.58 | Professional | None | $338.84 | $467.74 | $758.58 |
1 more rate 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 $354.81 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Where Nevada sits
The same service costs 4.3 times more in Alaska 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· 39th of 51
$550
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.