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 $47.86 Median $1,698.24 Typical High $4,466.84 | Facility | None | $47.86 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $70.79 | Professional | None | $43.65 | $43.65 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,801.89 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $100.00 | Professional | None | $45.71 | $56.23 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,905.46 Typical High $2,630.27 | Facility | None | $398.11 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $74.13 | Professional | None | $40.74 | $40.74 | $74.13 |
Hometown Health Setting Professional Modifier None Typical Low $0.71 Median $50.12 Typical High $75.86 | Professional | None | $0.71 | $50.12 | $75.86 |
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 $0.60 Median $0.60 Typical High $64.57 | Professional | None | $0.60 | $0.60 | $64.57 |
Select Health Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $4,265.80 | Facility | None | $42.66 | $42.66 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
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 $38.90 Median $50.12 Typical High $77.62 | Professional | None | $38.90 | $50.12 | $77.62 |
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 $33.11 Median $33.11 Typical High $36.31 | Professional | 54 · Surgery only | $33.11 | $33.11 | $36.31 |
Where Nevada sits
The same service costs 20.9 times more in Oklahoma than in Kentucky. 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· 46th of 51
$58.88
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.