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 $109.65 Median $120.23 Typical High $151.36 | Facility | None | $109.65 | $120.23 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $151.36 | Professional | None | $109.65 | $125.89 | $151.36 |
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 $112.20 Median $128.82 Typical High $204.17 | Professional | None | $112.20 | $128.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $81.28 Typical High $128.82 | Facility | None | $70.79 | $81.28 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $120.23 Typical High $199.53 | Professional | None | $66.07 | $120.23 | $199.53 |
Hometown Health Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $190.55 | Professional | None | $77.62 | $123.03 | $190.55 |
Hometown Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Hometown Health Setting Professional Modifier None Typical Low $0.24 Median $112.20 Typical High $218.78 | Professional | None | $0.24 | $112.20 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $144.54 Typical High $4,265.80 | Facility | None | $97.72 | $144.54 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $158.49 | Professional | None | $79.43 | $128.82 | $158.49 |
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 $75.86 Median $138.04 Typical High $204.17 | Professional | None | $75.86 | $138.04 | $204.17 |
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 $53.70 Median $66.07 Typical High $72.44 | Professional | 52 · Reduced service | $53.70 | $66.07 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $26.30 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $19.95 Typical High $21.38 | Professional | 55 · Aftercare only | $16.22 | $19.95 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $13.18 Typical High $14.45 | Professional | 56 · Pre-op care only | $10.96 | $13.18 | $14.45 |
Where Nevada sits
The same service costs 4.3 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· 47th of 51
$132
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.