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 $77.62 Median $87.10 Typical High $144.54 | Facility | None | $77.62 | $87.10 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $141.25 | Professional | None | $75.86 | $89.13 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $141.25 | Professional | None | $117.49 | $117.49 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $173.78 | Professional | None | $50.12 | $85.11 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $123.03 | Professional | None | $50.12 | $85.11 | $123.03 |
Hometown Health Setting Professional Modifier None Typical Low $83.18 Median $125.89 Typical High $144.54 | Professional | None | $83.18 | $125.89 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $125.89 Typical High $4,265.80 | Facility | None | $61.66 | $125.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $85.11 | Professional | None | $57.54 | $72.44 | $85.11 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $125.89 | Professional | None | $52.48 | $74.13 | $125.89 |
3 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 $38.90 Median $44.67 Typical High $66.07 | Professional | 52 · Reduced service | $38.90 | $44.67 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $13.49 Typical High $19.95 | Professional | 55 · Aftercare only | $11.75 | $13.49 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $8.91 Typical High $13.49 | Professional | 56 · Pre-op care only | $7.76 | $8.91 | $13.49 |
Where Nevada sits
The same service costs 4.3 times more in Alaska than in North Carolina. 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· 35th of 51
$87.10
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.