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 $60.26 Median $67.61 Typical High $117.49 | Facility | None | $60.26 | $67.61 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $107.15 | Professional | None | $60.26 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $35.48 Typical High $53.70 | Professional | 52 · Reduced service | $30.20 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.13 Typical High $21.38 | Professional | 53 · Discontinued | $12.30 | $14.13 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.72 Typical High $16.22 | Professional | 55 · Aftercare only | $9.12 | $10.72 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.08 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.03 | $7.08 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $120.23 | Professional | None | $57.54 | $85.11 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $79.43 Typical High $112.20 | Professional | None | $48.98 | $79.43 | $112.20 |
Hometown Health Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $120.23 | Professional | None | $1.20 | $1.20 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $100.00 Typical High $4,265.80 | Facility | None | $47.86 | $100.00 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $81.28 | Professional | None | $45.71 | $64.57 | $81.28 |
United Setting Professional Modifier None Typical Low $30.20 Median $60.26 Typical High $114.82 | Professional | None | $30.20 | $60.26 | $114.82 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Nevada sits
The same service costs 3.0 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· 30th of 51
$77.62
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.