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 $177.83 Median $1,698.24 Typical High $4,365.16 | Facility | None | $177.83 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $169.82 Typical High $223.87 | Professional | None | $64.57 | $169.82 | $223.87 |
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 $69.18 Median $162.18 Typical High $245.47 | Professional | None | $69.18 | $162.18 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $147.91 Typical High $263.03 | Professional | None | $54.95 | $147.91 | $263.03 |
Hometown Health Setting Professional Modifier None Typical Low $51.29 Median $131.83 Typical High $223.87 | Professional | None | $51.29 | $131.83 | $223.87 |
Hometown Health Setting Professional Modifier None Typical Low $0.50 Median $69.18 Typical High $223.87 | Professional | None | $0.50 | $69.18 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $147.91 Typical High $4,265.80 | Facility | None | $46.77 | $147.91 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $66.07 Median $147.91 Typical High $204.17 | Professional | None | $66.07 | $147.91 | $204.17 |
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 $36.31 Median $48.98 Typical High $95.50 | Professional | 52 · Reduced service | $36.31 | $48.98 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $19.95 Typical High $38.02 | Professional | 53 · Discontinued | $14.79 | $19.95 | $38.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $74.13 Typical High $144.54 | Professional | 54 · Surgery only | $54.95 | $74.13 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.79 Typical High $28.84 | Professional | 55 · Aftercare only | $10.96 | $14.79 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.77 Typical High $19.05 | Professional | 56 · Pre-op care only | $7.24 | $9.77 | $19.05 |
Where Nevada sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 23rd of 51
$162
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.