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 $34.67 Median $2,137.96 Typical High $10,715.19 | Facility | None | $34.67 | $2,137.96 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $42.66 Typical High $54.95 | Professional | None | $34.67 | $42.66 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $85.11 | Professional | None | $32.36 | $51.29 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $912.01 Typical High $2,137.96 | Facility | None | $660.69 | $912.01 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $48.98 | Professional | None | $39.81 | $46.77 | $48.98 |
Hometown Health Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $79.43 | Professional | None | $28.18 | $46.77 | $79.43 |
Hometown Health Setting Professional Modifier None Typical Low $0.23 Median $40.74 Typical High $75.86 | Professional | None | $0.23 | $40.74 | $75.86 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $50.12 Typical High $4,265.80 | Facility | None | $26.92 | $50.12 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
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 $33.88 Median $50.12 Typical High $72.44 | Professional | None | $33.88 | $50.12 | $72.44 |
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 $17.38 Median $20.89 Typical High $27.54 | Professional | 52 · Reduced service | $17.38 | $20.89 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.32 Typical High $10.96 | Professional | 53 · Discontinued | $6.92 | $8.32 | $10.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $30.90 Typical High $40.74 | Professional | 54 · Surgery only | $25.70 | $30.90 | $40.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $6.31 Typical High $8.13 | Professional | 55 · Aftercare only | $5.13 | $6.31 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $4.17 Typical High $5.50 | Professional | 56 · Pre-op care only | $3.47 | $4.17 | $5.50 |
Where Nevada sits
The same service costs 2.8 times more in Alaska than in California. 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· 37th of 51
$51.29
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.