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 $204.17 Median $3,981.07 Typical High $10,715.19 | Facility | None | $204.17 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $229.09 | Professional | None | $204.17 | $204.17 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $398.11 | Professional | None | $186.21 | $223.87 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $23,442.29 | Facility | None | $6,309.57 | $6,309.57 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $302.00 | Professional | None | $144.54 | $165.96 | $302.00 |
Hometown Health Setting Professional Modifier None Typical Low $1.82 Median $190.55 Typical High $269.15 | Professional | None | $1.82 | $190.55 | $269.15 |
Hometown Health Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $239.88 | Professional | None | $1.82 | $1.82 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $4,265.80 | Facility | None | $158.49 | $158.49 | $4,265.80 |
United Setting Facility Modifier None Typical Low $302.00 Median $794.33 Typical High $2,951.21 | Facility | None | $302.00 | $794.33 | $2,951.21 |
United Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $331.13 | Professional | None | $138.04 | $204.17 | $331.13 |
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 $102.33 Median $102.33 Typical High $114.82 | Professional | 52 · Reduced service | $102.33 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $46.77 | Professional | 53 · Discontinued | $40.74 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $151.36 Typical High $173.78 | Professional | 54 · Surgery only | $151.36 | $151.36 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | 56 · Pre-op care only | $20.42 | $20.42 | $22.91 |
Where Nevada sits
The same service costs 3.8 times more in Alaska than in New York. 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· 42nd of 51
$229
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.