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 $21.38 Median $23.99 Typical High $95.50 | Facility | None | $21.38 | $23.99 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $33.88 Typical High $85.11 | Professional | None | $21.38 | $33.88 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $16.98 Typical High $42.66 | Professional | 52 · Reduced service | $10.72 | $16.98 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $6.76 Typical High $16.98 | Professional | 53 · Discontinued | $4.27 | $6.76 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.24 Median $5.13 Typical High $12.59 | Professional | 55 · Aftercare only | $3.24 | $5.13 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.14 Median $3.39 Typical High $8.51 | Professional | 56 · Pre-op care only | $2.14 | $3.39 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $57.54 Typical High $97.72 | Professional | None | $20.42 | $57.54 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $61.66 Typical High $70.79 | Professional | None | $17.78 | $61.66 | $70.79 |
Hometown Health Setting Professional Modifier None Typical Low $25.70 Median $79.43 Typical High $97.72 | Professional | None | $25.70 | $79.43 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $17.78 Median $79.43 Typical High $4,265.80 | Facility | None | $17.78 | $79.43 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $30.20 | Professional | None | $16.60 | $23.99 | $30.20 |
United Setting Professional Modifier None Typical Low $20.89 Median $42.66 Typical High $75.86 | Professional | None | $20.89 | $42.66 | $75.86 |
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 4.4 times more in Hawaii 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· 26th of 51
$47.86
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.