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 $51.29 Median $56.23 Typical High $77.62 | Facility | None | $51.29 | $56.23 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $81.28 | Professional | None | $51.29 | $70.79 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
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 $52.48 Median $60.26 Typical High $97.72 | Professional | None | $52.48 | $60.26 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $60.26 Typical High $93.33 | Facility | None | $51.29 | $60.26 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $120.23 | Professional | None | $47.86 | $69.18 | $120.23 |
Hometown Health Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $107.15 | Professional | None | $38.90 | $63.10 | $107.15 |
Hometown Health Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Hometown Health Setting Professional Modifier None Typical Low $0.60 Median $75.86 Typical High $120.23 | Professional | None | $0.60 | $75.86 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $4,265.80 | Facility | None | $50.12 | $81.28 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $81.28 | Professional | None | $40.74 | $64.57 | $81.28 |
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 $57.54 Median $79.43 Typical High $123.03 | Professional | None | $57.54 | $79.43 | $123.03 |
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 $25.70 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $25.70 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $14.13 Typical High $15.49 | Professional | 53 · Discontinued | $10.23 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $10.47 Typical High $11.75 | Professional | 55 · Aftercare only | $7.59 | $10.47 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.08 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.13 | $7.08 | $7.76 |
Where Nevada sits
The same service costs 3.5 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· 48th of 51
$70.79
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.