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 $44.67 Median $48.98 Typical High $81.28 | Facility | None | $44.67 | $48.98 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $66.07 Typical High $81.28 | Professional | None | $44.67 | $66.07 | $81.28 |
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 $46.77 Median $77.62 Typical High $128.82 | Professional | None | $46.77 | $77.62 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $43.65 Typical High $67.61 | Facility | None | $38.02 | $43.65 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $107.15 | Professional | None | $40.74 | $52.48 | $107.15 |
Hometown Health Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $114.82 | Professional | None | $40.74 | $61.66 | $114.82 |
Hometown Health Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Hometown Health Setting Professional Modifier None Typical Low $0.60 Median $58.88 Typical High $107.15 | Professional | None | $0.60 | $58.88 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $72.44 Typical High $4,265.80 | Facility | None | $40.74 | $72.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $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 $47.86 Median $72.44 Typical High $114.82 | Professional | None | $47.86 | $72.44 | $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 $22.39 Median $33.11 Typical High $40.74 | Professional | 52 · Reduced service | $22.39 | $33.11 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $13.18 Typical High $16.22 | Professional | 53 · Discontinued | $8.91 | $13.18 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $10.00 Typical High $12.30 | Professional | 55 · Aftercare only | $6.76 | $10.00 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.61 Typical High $8.13 | Professional | 56 · Pre-op care only | $4.47 | $6.61 | $8.13 |
Where Nevada sits
The same service costs 3.1 times more in Wisconsin 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· 37th of 51
$74.13
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.