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 $43.65 Median $48.98 Typical High $114.82 | Facility | None | $43.65 | $48.98 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $109.65 | Professional | None | $43.65 | $64.57 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $32.36 Typical High $53.70 | Professional | 52 · Reduced service | $21.88 | $32.36 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $12.88 Typical High $21.88 | Professional | 53 · Discontinued | $8.71 | $12.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $9.77 Typical High $16.22 | Professional | 55 · Aftercare only | $6.61 | $9.77 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.46 Typical High $10.72 | Professional | 56 · Pre-op care only | $4.37 | $6.46 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $85.11 Typical High $120.23 | Professional | None | $41.69 | $85.11 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $81.28 Typical High $102.33 | Professional | None | $38.90 | $81.28 | $102.33 |
Hometown Health Setting Professional Modifier None Typical Low $51.29 Median $95.50 Typical High $120.23 | Professional | None | $51.29 | $95.50 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $35.48 Median $95.50 Typical High $4,265.80 | Facility | None | $35.48 | $95.50 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $48.98 Typical High $60.26 | Professional | None | $33.11 | $48.98 | $60.26 |
United Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $97.72 | Professional | None | $30.20 | $46.77 | $97.72 |
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 2.5 times more in Alaska than in Washington, DC. 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· 34th of 51
$69.18
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.