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 $147.91 Median $3,981.07 Typical High $10,715.19 | Facility | None | $147.91 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $208.93 | Professional | None | $128.82 | $147.91 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | None | $131.83 | $131.83 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $257.04 | Professional | None | $141.25 | $173.78 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $114.82 Typical High $204.17 | Professional | None | $31.62 | $114.82 | $204.17 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $151.36 Typical High $204.17 | Professional | None | $0.76 | $151.36 | $204.17 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $194.98 | Professional | None | $0.76 | $0.76 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $4,265.80 | Facility | None | $128.82 | $128.82 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
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 $50.12 Median $128.82 Typical High $169.82 | Professional | None | $50.12 | $128.82 | $169.82 |
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 $72.44 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $72.44 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $29.51 Typical High $32.36 | Professional | 53 · Discontinued | $28.84 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $112.20 Typical High $120.23 | Professional | 54 · Surgery only | $109.65 | $112.20 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $22.39 Typical High $23.99 | Professional | 55 · Aftercare only | $21.88 | $22.39 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.79 Typical High $16.22 | Professional | 56 · Pre-op care only | $14.45 | $14.79 | $16.22 |
Where Nevada sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 34th of 51
$148
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.