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 $380.19 Median $3,981.07 Typical High $10,715.19 | Facility | None | $380.19 | $3,981.07 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | None | $380.19 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,890.45 Typical High $5,495.41 | Facility | None | $691.83 | $3,890.45 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | None | $331.13 | $331.13 | $346.74 |
Hometown Health Setting Professional Modifier None Typical Low $8.13 Median $354.81 Typical High $616.60 | Professional | None | $8.13 | $354.81 | $616.60 |
Hometown Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Hometown Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $537.03 | Professional | None | $8.13 | $8.13 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $4,265.80 | Facility | None | $354.81 | $354.81 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $446.68 | Professional | None | $281.84 | $354.81 | $446.68 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $616.60 | Professional | None | $331.13 | $426.58 | $616.60 |
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 $190.55 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $190.55 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $288.40 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $57.54 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.02 | $38.90 | $38.90 |
Where Nevada sits
The same service costs 4.5 times more in Alaska than in New York. 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
$389
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.