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 $43.65 Median $43.65 Typical High $44.67 | Facility | None | $43.65 | $43.65 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $44.67 | Professional | None | $34.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $17.78 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.08 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $26.92 Median $33.88 Typical High $33.88 | Professional | 54 · Surgery only | $26.92 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $5.37 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.55 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.55 | $4.47 | $4.47 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $36.31 | Professional | None | $16.98 | $18.62 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $125.89 | Professional | None | $21.38 | $21.38 | $125.89 |
Hometown Health Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $91.20 | Professional | None | $42.66 | $61.66 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $4,265.80 | Facility | None | $52.48 | $52.48 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $66.07 | Professional | None | $33.11 | $50.12 | $66.07 |
United Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $63.10 | Professional | None | $20.89 | $26.30 | $63.10 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii 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· 20th of 51
$39.81
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.