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 $104.71 Median $1,698.24 Typical High $4,365.16 | Facility | None | $104.71 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $66.07 Typical High $114.82 | Professional | None | $22.39 | $66.07 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
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 $35.48 Median $67.61 Typical High $144.54 | Professional | None | $35.48 | $67.61 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $39.81 Typical High $79.43 | Professional | None | $12.30 | $39.81 | $79.43 |
Hometown Health Setting Professional Modifier None Typical Low $25.12 Median $61.66 Typical High $151.36 | Professional | None | $25.12 | $61.66 | $151.36 |
Hometown Health Setting Professional Modifier None Typical Low $0.56 Median $45.71 Typical High $151.36 | Professional | None | $0.56 | $45.71 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $102.33 Typical High $4,265.80 | Facility | None | $30.90 | $102.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
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 $33.11 Median $54.95 Typical High $100.00 | Professional | None | $33.11 | $54.95 | $100.00 |
3 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 54 · Surgery only Typical Low $28.18 Median $37.15 Typical High $85.11 | Professional | 54 · Surgery only | $28.18 | $37.15 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $7.41 Typical High $16.98 | Professional | 55 · Aftercare only | $5.62 | $7.41 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $5.01 Typical High $11.48 | Professional | 56 · Pre-op care only | $3.80 | $5.01 | $11.48 |
Where Nevada sits
The same service costs 2.8 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· 32nd of 51
$74.13
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.