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 $186.21 Median $1,698.24 Typical High $4,365.16 | Facility | None | $186.21 | $1,698.24 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $398.11 Typical High $407.38 | Professional | None | $186.21 | $398.11 | $407.38 |
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 $177.83 Median $389.05 Typical High $645.65 | Professional | None | $177.83 | $389.05 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $2,089.30 | Facility | None | $537.03 | $741.31 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | None | $288.40 | $288.40 | $389.05 |
Hometown Health Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $512.86 | Professional | None | $186.21 | $281.84 | $512.86 |
Hometown Health Setting Professional Modifier None Typical Low $2.24 Median $234.42 Typical High $467.74 | Professional | None | $2.24 | $234.42 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $316.23 Typical High $4,265.80 | Facility | None | $154.88 | $316.23 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
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 $208.93 Median $389.05 Typical High $660.69 | Professional | None | $208.93 | $389.05 | $660.69 |
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 $93.33 Median $123.03 Typical High $204.17 | Professional | 52 · Reduced service | $93.33 | $123.03 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $48.98 Typical High $81.28 | Professional | 53 · Discontinued | $37.15 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $181.97 Typical High $302.00 | Professional | 54 · Surgery only | $138.04 | $181.97 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $36.31 Typical High $60.26 | Professional | 55 · Aftercare only | $27.54 | $36.31 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $24.55 Typical High $40.74 | Professional | 56 · Pre-op care only | $18.62 | $24.55 | $40.74 |
Where Nevada sits
The same service costs 2.8 times more in Wisconsin than in Utah. 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· 22nd 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.