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 $64.57 Median $64.57 Typical High $74.13 | Facility | None | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | None | $64.57 | $64.57 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,762.47 Median $9,549.93 Typical High $19,498.45 | Facility | None | $7,762.47 | $9,549.93 | $19,498.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $131.83 | Professional | None | $58.88 | $70.79 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $97.72 | Professional | None | $46.77 | $51.29 | $97.72 |
Hometown Health Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $87.10 | Professional | None | $48.98 | $67.61 | $87.10 |
Hometown Health Setting Professional Modifier None Typical Low $0.56 Median $69.18 Typical High $77.62 | Professional | None | $0.56 | $69.18 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $45.71 Median $52.48 Typical High $4,265.80 | Facility | None | $45.71 | $52.48 | $4,265.80 |
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 $46.77 Median $67.61 Typical High $95.50 | Professional | None | $46.77 | $67.61 | $95.50 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | 54 · Surgery only | $47.86 | $47.86 | $54.95 |
Where Nevada sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 38th of 51
$75.86
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.