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 $26.30 Median $28.84 Typical High $43.65 | Facility | None | $26.30 | $28.84 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $43.65 | Professional | None | $26.30 | $39.81 | $43.65 |
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 $27.54 Median $31.62 Typical High $51.29 | Professional | None | $27.54 | $31.62 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $27.54 Typical High $58.88 | Facility | None | $23.44 | $27.54 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $46.77 Typical High $64.57 | Professional | None | $29.51 | $46.77 | $64.57 |
Hometown Health Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $60.26 | Professional | None | $19.95 | $32.36 | $60.26 |
Hometown Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Hometown Health Setting Professional Modifier None Typical Low $0.18 Median $37.15 Typical High $66.07 | Professional | None | $0.18 | $37.15 | $66.07 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $43.65 Typical High $4,265.80 | Facility | None | $25.70 | $43.65 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $20.42 Median $34.67 Typical High $42.66 | Professional | None | $20.42 | $34.67 | $42.66 |
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 $28.18 Median $42.66 Typical High $67.61 | Professional | None | $28.18 | $42.66 | $67.61 |
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 $13.18 Median $19.95 Typical High $21.88 | Professional | 52 · Reduced service | $13.18 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $7.94 Typical High $8.71 | Professional | 53 · Discontinued | $5.25 | $7.94 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $5.89 Typical High $6.46 | Professional | 55 · Aftercare only | $3.98 | $5.89 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $3.98 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.63 | $3.98 | $4.37 |
Where Nevada sits
The same service costs 3.3 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· 44th 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.