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 $102.33 Median $2,137.96 Typical High $10,715.19 | Facility | None | $102.33 | $2,137.96 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $141.25 | Professional | None | $100.00 | $117.49 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $4,466.84 | Facility | None | $2,238.72 | $3,548.13 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $162.18 | Professional | None | $97.72 | $112.20 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $741.31 Typical High $2,137.96 | Facility | None | $54.95 | $741.31 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $134.90 Typical High $234.42 | Professional | None | $85.11 | $134.90 | $234.42 |
Hometown Health Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $162.18 | Professional | None | $109.65 | $125.89 | $162.18 |
Hometown Health Setting Professional Modifier None Typical Low $0.36 Median $128.82 Typical High $173.78 | Professional | None | $0.36 | $128.82 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $114.82 Typical High $4,265.80 | Facility | None | $85.11 | $114.82 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $158.49 | Professional | None | $79.43 | $114.82 | $158.49 |
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 $36.31 Median $109.65 Typical High $190.55 | Professional | None | $36.31 | $109.65 | $190.55 |
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 $51.29 Median $58.88 Typical High $69.18 | Professional | 52 · Reduced service | $51.29 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.44 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $89.13 Typical High $104.71 | Professional | 54 · Surgery only | $77.62 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $17.78 Typical High $20.89 | Professional | 55 · Aftercare only | $15.49 | $17.78 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $11.75 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.23 | $11.75 | $14.13 |
Where Nevada sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 35th of 51
$120
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.