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 $58.88 Median $1,698.24 Typical High $4,365.16 | Facility | None | $58.88 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $95.50 | Professional | None | $57.54 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $64.57 Typical High $72.44 | Professional | 54 · Surgery only | $44.67 | $64.57 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $109.65 | Professional | None | $58.88 | $67.61 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $676.08 Typical High $2,137.96 | Facility | None | $398.11 | $676.08 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $125.89 | Professional | None | $51.29 | $83.18 | $125.89 |
Hometown Health Setting Professional Modifier None Typical Low $41.69 Median $67.61 Typical High $131.83 | Professional | None | $41.69 | $67.61 | $131.83 |
Hometown Health Setting Professional Modifier None Typical Low $1.20 Median $75.86 Typical High $151.36 | Professional | None | $1.20 | $75.86 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $4,265.80 | Facility | None | $50.12 | $102.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $77.62 Typical High $97.72 | Professional | None | $40.74 | $77.62 | $97.72 |
United Setting Facility Modifier None Typical Low $97.72 Median $245.47 Typical High $1,949.84 | Facility | None | $97.72 | $245.47 | $1,949.84 |
United Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $151.36 | Professional | None | $57.54 | $91.20 | $151.36 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 50 · Both sides | $151.36 | $151.36 | $151.36 |
Where Nevada sits
The same service costs 3.6 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· 47th of 51
$83.18
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.