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 $40.74 Median $44.67 Typical High $87.10 | Facility | None | $40.74 | $44.67 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $87.10 | Professional | None | $40.74 | $61.66 | $87.10 |
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 $41.69 Median $47.86 Typical High $79.43 | Professional | None | $41.69 | $47.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $128.82 | Facility | None | $70.79 | $83.18 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $109.65 | Professional | None | $36.31 | $69.18 | $109.65 |
Hometown Health Setting Professional Modifier None Typical Low $29.51 Median $58.88 Typical High $125.89 | Professional | None | $29.51 | $58.88 | $125.89 |
Hometown Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Hometown Health Setting Professional Modifier None Typical Low $0.18 Median $57.54 Typical High $147.91 | Professional | None | $0.18 | $57.54 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $4,265.80 | Facility | None | $38.02 | $97.72 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $56.23 Typical High $93.33 | Professional | None | $30.20 | $56.23 | $93.33 |
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 $33.11 Median $67.61 Typical High $114.82 | Professional | None | $33.11 | $67.61 | $114.82 |
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 $20.42 Median $30.90 Typical High $42.66 | Professional | 52 · Reduced service | $20.42 | $30.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $12.30 Typical High $16.98 | Professional | 53 · Discontinued | $8.13 | $12.30 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $9.33 Typical High $12.88 | Professional | 55 · Aftercare only | $6.17 | $9.33 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $6.17 Typical High $8.51 | Professional | 56 · Pre-op care only | $4.07 | $6.17 | $8.51 |
Where Nevada sits
The same service costs 3.9 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· 46th of 51
$66.07
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.