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 $128.82 Median $3,981.07 Typical High $10,715.19 | Facility | None | $128.82 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $131.83 | Professional | None | $128.82 | $131.83 | $131.83 |
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 $123.03 Median $151.36 Typical High $275.42 | Professional | None | $123.03 | $151.36 | $275.42 |
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 $107.15 Median $107.15 Typical High $208.93 | Professional | None | $107.15 | $107.15 | $208.93 |
Hometown Health Setting Professional Modifier None Typical Low $1.05 Median $128.82 Typical High $186.21 | Professional | None | $1.05 | $128.82 | $186.21 |
Hometown Health Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $165.96 | Professional | None | $0.89 | $0.89 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $4,265.80 | Facility | None | $109.65 | $109.65 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
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 $100.00 Median $131.83 Typical High $204.17 | Professional | None | $100.00 | $131.83 | $204.17 |
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 $64.57 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $64.57 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $25.70 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | 54 · Surgery only | $97.72 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $19.50 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $13.18 Typical High $13.18 | Professional | 56 · Pre-op care only | $12.88 | $13.18 | $13.18 |
Where Nevada sits
The same service costs 3.9 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· 42nd of 51
$151
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.