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 $74.13 Median $81.28 Typical High $112.20 | Facility | None | $74.13 | $81.28 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $107.15 | Professional | None | $74.13 | $89.13 | $107.15 |
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 $75.86 Median $87.10 Typical High $134.90 | Professional | None | $75.86 | $87.10 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $123.03 | Facility | None | $69.18 | $79.43 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $144.54 | Professional | None | $64.57 | $87.10 | $144.54 |
Hometown Health Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $144.54 | Professional | None | $53.70 | $87.10 | $144.54 |
Hometown Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Hometown Health Setting Professional Modifier None Typical Low $0.18 Median $100.00 Typical High $173.78 | Professional | None | $0.18 | $100.00 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $117.49 Typical High $4,265.80 | Facility | None | $66.07 | $117.49 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $93.33 Typical High $112.20 | Professional | None | $52.48 | $93.33 | $112.20 |
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 $58.88 Median $93.33 Typical High $151.36 | Professional | None | $58.88 | $93.33 | $151.36 |
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 $37.15 Median $44.67 Typical High $53.70 | Professional | 52 · Reduced service | $37.15 | $44.67 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $14.79 | $17.78 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $13.49 Typical High $16.22 | Professional | 55 · Aftercare only | $11.22 | $13.49 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $8.91 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.41 | $8.91 | $10.96 |
Where Nevada sits
The same service costs 3.8 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· 45th of 51
$91.20
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.