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 $42.66 Median $46.77 Typical High $66.07 | Facility | None | $42.66 | $46.77 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $66.07 | Professional | None | $42.66 | $60.26 | $66.07 |
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 $43.65 Median $50.12 Typical High $79.43 | Professional | None | $43.65 | $50.12 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $44.67 Typical High $69.18 | Facility | None | $38.90 | $44.67 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $85.11 | Professional | None | $37.15 | $53.70 | $85.11 |
Hometown Health Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $87.10 | Professional | None | $30.90 | $48.98 | $87.10 |
Hometown Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Hometown Health Setting Professional Modifier None Typical Low $0.18 Median $57.54 Typical High $100.00 | Professional | None | $0.18 | $57.54 | $100.00 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $66.07 Typical High $4,265.80 | Facility | None | $38.02 | $66.07 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $53.70 Typical High $64.57 | Professional | None | $30.20 | $53.70 | $64.57 |
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 $34.67 Median $57.54 Typical High $89.13 | Professional | None | $34.67 | $57.54 | $89.13 |
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 $21.38 Median $29.51 Typical High $32.36 | Professional | 52 · Reduced service | $21.38 | $29.51 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $11.75 Typical High $12.88 | Professional | 53 · Discontinued | $8.51 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $8.91 Typical High $9.77 | Professional | 55 · Aftercare only | $6.31 | $8.91 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.89 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.27 | $5.89 | $6.46 |
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· 47th of 51
$54.95
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.