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 $575.44 Median $1,698.24 Typical High $4,466.84 | Facility | None | $575.44 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $575.44 Typical High $575.44 | Professional | None | $562.34 | $575.44 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,047.13 | Professional | None | $562.34 | $660.69 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,513.56 Typical High $15,135.61 | Facility | None | $1,148.15 | $1,513.56 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $851.14 | Professional | None | $302.00 | $467.74 | $851.14 |
Hometown Health Setting Professional Modifier None Typical Low $4.90 Median $109.65 Typical High $218.78 | Professional | None | $4.90 | $109.65 | $218.78 |
Hometown Health Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | None | $4.17 | $4.17 | $4.17 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $4,265.80 | Facility | None | $177.83 | $177.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $758.58 | Professional | None | $141.25 | $177.83 | $758.58 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,698.24 Typical High $4,677.35 | Facility | None | $1,174.90 | $1,698.24 | $4,677.35 |
United Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $537.03 | Professional | None | $269.15 | $398.11 | $537.03 |
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 $281.84 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $426.58 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $85.11 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $56.23 | $57.54 | $57.54 |
Where Nevada sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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· 34th of 51
$562
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.