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 $89.13 Median $89.13 Typical High $95.50 | Facility | None | $89.13 | $89.13 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $95.50 | Professional | None (both parts) | $87.10 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $43.65 Typical High $47.86 | Professional | 52 · Reduced service | $42.66 | $43.65 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $16.98 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $13.18 Typical High $14.45 | Professional | 55 · Aftercare only | $12.59 | $13.18 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.91 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.51 | $8.91 | $9.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $144.54 | Professional | None (both parts) | $70.79 | $95.50 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $87.10 | $109.65 | $162.18 |
Hometown Health Setting Professional Modifier None Typical Low $1.15 Median $85.11 Typical High $114.82 | Professional | None | $1.15 | $85.11 | $114.82 |
Hometown Health Setting Professional Modifier None (both parts) Typical Low $1.15 Median $1.15 Typical High $104.71 | Professional | None (both parts) | $1.15 | $1.15 | $104.71 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $4,265.80 | Facility | None | $70.79 | $70.79 | $4,265.80 |
Select Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $52.48 | $53.70 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $74.13 | $89.13 | $123.03 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $72.44 | $77.62 | $128.82 |
Where Nevada sits
The same service costs 2.9 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· 39th of 51
$89.13
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.