How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $128.82 Median $128.82 Typical High $138.04 | Facility | None | $128.82 | $128.82 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | None | $128.82 | $128.82 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $229.09 | Professional | None | $120.23 | $138.04 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $109.65 Typical High $165.96 | Professional | None | $100.00 | $109.65 | $165.96 |
Hometown Health Setting Professional Modifier None Typical Low $1.91 Median $114.82 Typical High $151.36 | Professional | None | $1.91 | $114.82 | $151.36 |
Hometown Health Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $158.49 | Professional | None | $1.91 | $1.91 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $4,265.80 | Facility | None | $104.71 | $104.71 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $138.04 | Professional | None | $75.86 | $95.50 | $138.04 |
United Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $162.18 | Professional | None | $100.00 | $125.89 | $162.18 |
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 $64.57 Median $64.57 Typical High $69.18 | Professional | 52 · Reduced service | $64.57 | $64.57 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | 53 · Discontinued | $25.70 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | 55 · Aftercare only | $19.05 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $13.80 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $13.80 |
Where Nevada sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 33rd of 51
$129
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.