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 $17.78 Median $19.50 Typical High $33.88 | Facility | None | $17.78 | $19.50 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $30.90 Typical High $33.88 | Professional | None | $17.78 | $30.90 | $33.88 |
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 $18.20 Median $20.89 Typical High $35.48 | Professional | None | $18.20 | $20.89 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.38 Typical High $54.95 | Facility | None | $18.20 | $21.38 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $42.66 Typical High $66.07 | Professional | None | $28.84 | $42.66 | $66.07 |
Hometown Health Setting Professional Modifier None Typical Low $19.50 Median $36.31 Typical High $58.88 | Professional | None | $19.50 | $36.31 | $58.88 |
Hometown Health Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Hometown Health Setting Professional Modifier None Typical Low $0.24 Median $22.91 Typical High $46.77 | Professional | None | $0.24 | $22.91 | $46.77 |
Select Health Setting Facility Modifier None Typical Low $15.14 Median $31.62 Typical High $4,265.80 | Facility | None | $15.14 | $31.62 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $12.30 Median $22.91 Typical High $29.51 | Professional | None | $12.30 | $22.91 | $29.51 |
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 $21.38 Median $38.02 Typical High $63.10 | Professional | None | $21.38 | $38.02 | $63.10 |
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 $8.71 Median $14.45 Typical High $16.98 | Professional | 52 · Reduced service | $8.71 | $14.45 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $5.75 Typical High $6.92 | Professional | 53 · Discontinued | $3.55 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $4.37 Typical High $5.13 | Professional | 55 · Aftercare only | $2.63 | $4.37 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.88 Typical High $3.39 | Professional | 56 · Pre-op care only | $1.78 | $2.88 | $3.39 |
Where Nevada sits
The same service costs 3.5 times more in Alaska than in Virginia. 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· 42nd of 51
$32.36
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.