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 $89.13 Median $95.50 Typical High $8,128.31 | Facility | None | $89.13 | $95.50 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $123.03 | Professional | None | $89.13 | $95.50 | $123.03 |
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 $100.00 Median $123.03 Typical High $223.87 | Professional | None | $100.00 | $123.03 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,905.46 Typical High $2,630.27 | Facility | None | $426.58 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $173.78 | Professional | None | $89.13 | $102.33 | $173.78 |
Hometown Health Setting Professional Modifier None Typical Low $2.45 Median $109.65 Typical High $158.49 | Professional | None | $2.45 | $109.65 | $158.49 |
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 $2.09 Median $2.09 Typical High $138.04 | Professional | None | $2.09 | $2.09 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $4,265.80 | Facility | None | $91.20 | $91.20 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
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 $91.20 Median $114.82 Typical High $199.53 | Professional | None | $91.20 | $114.82 | $199.53 |
4 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 $44.67 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $44.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $17.78 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $13.49 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.91 | $9.33 | $9.33 |
Where Nevada sits
The same service costs 7.9 times more in Kansas 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· 42nd of 51
$129
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.