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 $371.54 Median $1,698.24 Typical High $4,466.84 | Facility | None | $371.54 | $1,698.24 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | None | $363.08 | $371.54 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $407.38 Typical High $676.08 | Professional | None | $354.81 | $407.38 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $1,122.02 | Facility | None | $331.13 | $426.58 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $630.96 | Professional | None | $295.12 | $331.13 | $630.96 |
Hometown Health Setting Professional Modifier None Typical Low $4.79 Median $288.40 Typical High $501.19 | Professional | None | $4.79 | $288.40 | $501.19 |
Hometown Health Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $457.09 | Professional | None | $3.63 | $3.63 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $4,265.80 | Facility | None | $302.00 | $302.00 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $302.00 Typical High $630.96 | Professional | None | $245.47 | $302.00 | $630.96 |
United Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,949.84 | Facility | None | $97.72 | $234.42 | $1,949.84 |
United Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $575.44 | Professional | None | $323.59 | $407.38 | $575.44 |
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 $181.97 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $72.44 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $269.15 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $53.70 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 56 · Pre-op care only | $36.31 | $37.15 | $37.15 |
Where Nevada sits
The same service costs 4.9 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· 39th of 51
$407
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.