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 $77.62 Median $295.12 Typical High $537.03 | Facility | None | $77.62 | $295.12 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | None | $77.62 | $77.62 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $141.25 | Professional | None | $74.13 | $85.11 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $66.07 Typical High $104.71 | Professional | None | $15.85 | $66.07 | $104.71 |
Hometown Health Setting Professional Modifier None Typical Low $0.38 Median $75.86 Typical High $104.71 | Professional | None | $0.38 | $75.86 | $104.71 |
Hometown Health Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $112.20 | Professional | None | $0.38 | $0.38 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $4,265.80 | Facility | None | $75.86 | $75.86 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $112.20 | Professional | None | $43.65 | $67.61 | $112.20 |
United Setting Professional Modifier None Typical Low $18.62 Median $77.62 Typical High $104.71 | Professional | None | $18.62 | $77.62 | $104.71 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.98 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $12.59 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $8.51 |
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· 42nd 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.