How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,570.40 Median $2,754.23 Typical High $10,964.78 | Facility | None | $2,570.40 | $2,754.23 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,754.23 | Professional | None | $2,570.40 | $2,570.40 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $3,548.13 | Facility | None | $2,454.71 | $2,691.53 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $6,309.57 | Facility | None | $2,454.71 | $3,890.45 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Hometown Health Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,454.71 | $2,511.89 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $4,265.80 | Facility | None | $2,570.40 | $2,570.40 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,290.87 | $2,570.40 | $2,570.40 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $2,570.40 Typical High $3,019.95 | Professional | None | $2,454.71 | $2,570.40 | $3,019.95 |
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 $1,258.93 Median $1,258.93 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $549.54 | Professional | 53 · Discontinued | $512.86 | $512.86 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $1,905.46 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,905.46 | $1,905.46 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | 55 · Aftercare only | $380.19 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | 56 · Pre-op care only | $257.04 | $257.04 | $275.42 |
Where Nevada sits
Rates are fairly even across states for this service. 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· 45th of 51
$2,570
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.