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 $32.36 Median $36.31 Typical High $117.49 | Facility | None | $32.36 | $36.31 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $51.29 Typical High $107.15 | Professional | None | $32.36 | $51.29 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $25.70 Typical High $53.70 | Professional | 52 · Reduced service | $16.22 | $25.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $12.30 Typical High $21.38 | Professional | 53 · Discontinued | $6.46 | $12.30 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $9.33 Typical High $16.22 | Professional | 55 · Aftercare only | $4.79 | $9.33 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $6.17 Typical High $10.72 | Professional | 56 · Pre-op care only | $3.24 | $6.17 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $75.86 Typical High $120.23 | Professional | None | $30.90 | $75.86 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $75.86 Typical High $87.10 | Professional | None | $26.92 | $75.86 | $87.10 |
Hometown Health Setting Professional Modifier None Typical Low $41.69 Median $97.72 Typical High $125.89 | Professional | None | $41.69 | $97.72 | $125.89 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $97.72 Typical High $4,265.80 | Facility | None | $26.30 | $97.72 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $44.67 | Professional | None | $24.55 | $35.48 | $44.67 |
United Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $95.50 | Professional | None | $30.20 | $42.66 | $95.50 |
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 3.5 times more in Hawaii than in Maryland. 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· 29th of 51
$60.26
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.