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 $64.57 Median $70.79 Typical High $100.00 | Facility | None | $64.57 | $70.79 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $100.00 | Professional | None | $64.57 | $83.18 | $100.00 |
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 $66.07 Median $75.86 Typical High $123.03 | Professional | None | $66.07 | $75.86 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $85.11 Typical High $131.83 | Facility | None | $72.44 | $85.11 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $131.83 | Professional | None | $56.23 | $79.43 | $131.83 |
Hometown Health Setting Professional Modifier None Typical Low $46.77 Median $77.62 Typical High $134.90 | Professional | None | $46.77 | $77.62 | $134.90 |
Hometown Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Hometown Health Setting Professional Modifier None Typical Low $0.36 Median $93.33 Typical High $158.49 | Professional | None | $0.36 | $93.33 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $63.10 Median $107.15 Typical High $4,265.80 | Facility | None | $63.10 | $107.15 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $104.71 | Professional | None | $50.12 | $85.11 | $104.71 |
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 $52.48 Median $83.18 Typical High $131.83 | Professional | None | $52.48 | $83.18 | $131.83 |
4 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 $32.36 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $32.36 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $18.20 Typical High $19.50 | Professional | 53 · Discontinued | $12.88 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $13.49 Typical High $14.45 | Professional | 55 · Aftercare only | $9.55 | $13.49 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $9.12 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.46 | $9.12 | $9.77 |
Where Nevada sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 46th of 51
$83.18
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.