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 $478.63 Median $3,981.07 Typical High $10,715.19 | Facility | None | $478.63 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $489.78 | Professional | None | $478.63 | $489.78 | $489.78 |
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 $457.09 Median $562.34 Typical High $831.76 | Professional | None | $457.09 | $562.34 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $2,137.96 | Facility | None | $562.34 | $758.58 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $776.25 | Professional | None | $309.03 | $389.05 | $776.25 |
Hometown Health Setting Professional Modifier None Typical Low $7.08 Median $398.11 Typical High $724.44 | Professional | None | $7.08 | $398.11 | $724.44 |
Hometown Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $616.60 | Professional | None | $6.03 | $6.03 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $4,265.80 | Facility | None | $407.38 | $407.38 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
United Setting Facility Modifier None Typical Low $302.00 Median $794.33 Typical High $2,951.21 | Facility | None | $302.00 | $794.33 | $2,951.21 |
United Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $741.31 | Professional | None | $407.38 | $489.78 | $741.31 |
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 $239.88 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $95.50 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | 54 · Surgery only | $354.81 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $47.86 | $48.98 | $48.98 |
Where Nevada sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 40th 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.