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 $102.33 Median $112.20 Typical High $147.91 | Facility | None | $102.33 | $112.20 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $147.91 | Professional | None | $102.33 | $134.90 | $147.91 |
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 $104.71 Median $120.23 Typical High $190.55 | Professional | None | $104.71 | $120.23 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $109.65 Typical High $173.78 | Facility | None | $95.50 | $109.65 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $194.98 | Professional | None | $91.20 | $117.49 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $190.55 | Professional | None | $74.13 | $120.23 | $190.55 |
Hometown Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hometown Health Setting Professional Modifier None Typical Low $0.78 Median $144.54 Typical High $229.09 | Professional | None | $0.78 | $144.54 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $4,265.80 | Facility | None | $95.50 | $154.88 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $123.03 Typical High $154.88 | Professional | None | $75.86 | $123.03 | $154.88 |
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 $100.00 Median $128.82 Typical High $199.53 | Professional | None | $100.00 | $128.82 | $199.53 |
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 $51.29 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $51.29 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $20.42 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.50 Typical High $21.38 | Professional | 55 · Aftercare only | $15.14 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $13.18 Typical High $14.45 | Professional | 56 · Pre-op care only | $10.23 | $13.18 | $14.45 |
Where Nevada sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$126
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.