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 $30.20 Median $1,698.24 Typical High $4,365.16 | Facility | None | $30.20 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $45.71 | Professional | None | $27.54 | $36.31 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $64.57 | Professional | None | $28.84 | $40.74 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $2,137.96 | Facility | None | $331.13 | $426.58 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $56.23 | Professional | None | $24.55 | $31.62 | $56.23 |
Hometown Health Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $63.10 | Professional | None | $26.30 | $38.90 | $63.10 |
Hometown Health Setting Professional Modifier None Typical Low $0.36 Median $37.15 Typical High $57.54 | Professional | None | $0.36 | $37.15 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $38.90 Typical High $4,265.80 | Facility | None | $25.12 | $38.90 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
United Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,949.84 | Facility | None | $97.72 | $234.42 | $1,949.84 |
United Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $72.44 | Professional | None | $30.20 | $38.90 | $72.44 |
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 $13.80 Median $16.98 Typical High $19.95 | Professional | 52 · Reduced service | $13.80 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $5.50 | $6.76 | $7.94 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $25.12 Typical High $30.20 | Professional | 54 · Surgery only | $20.89 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $5.01 Typical High $6.03 | Professional | 55 · Aftercare only | $4.17 | $5.01 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.75 Median $3.39 Typical High $3.98 | Professional | 56 · Pre-op care only | $2.75 | $3.39 | $3.98 |
Where Nevada sits
The same service costs 3.3 times more in Alaska 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· 44th of 51
$39.81
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.