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 $602.56 Median $2,238.72 Typical High $5,128.61 | Facility | None | $602.56 | $2,238.72 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $602.56 Typical High $602.56 | Professional | None | $588.84 | $602.56 | $602.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $1,071.52 | Professional | None | $575.44 | $676.08 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $575.44 Typical High $1,122.02 | Facility | None | $446.68 | $575.44 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $549.54 Typical High $1,023.29 | Professional | None | $239.88 | $549.54 | $1,023.29 |
Hometown Health Setting Professional Modifier None Typical Low $1.58 Median $501.19 Typical High $812.83 | Professional | None | $1.58 | $501.19 | $812.83 |
Hometown Health Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $741.31 | Professional | None | $1.20 | $1.20 | $741.31 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $4,265.80 | Facility | None | $501.19 | $501.19 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $1,023.29 | Professional | None | $398.11 | $501.19 | $1,023.29 |
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 $218.78 Median $602.56 Typical High $933.25 | Professional | None | $218.78 | $602.56 | $933.25 |
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 $295.12 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $436.52 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $58.88 | $60.26 | $60.26 |
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· 43rd of 51
$603
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.