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 $25.70 Median $43.65 Typical High $436.52 | Facility | None | $25.70 | $43.65 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $46.77 | Professional | None | $24.55 | $35.48 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $63.10 | Professional | None | $24.55 | $41.69 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $36.31 | Professional | None | $13.80 | $21.38 | $36.31 |
Hometown Health Setting Professional Modifier None Typical Low $22.91 Median $36.31 Typical High $63.10 | Professional | None | $22.91 | $36.31 | $63.10 |
Hometown Health Setting Professional Modifier None Typical Low $0.25 Median $31.62 Typical High $63.10 | Professional | None | $0.25 | $31.62 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $20.89 Median $41.69 Typical High $4,265.80 | Facility | None | $20.89 | $41.69 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $25.12 Median $33.88 Typical High $44.67 | Professional | None | $25.12 | $33.88 | $44.67 |
2 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 55 · Aftercare only Typical Low $3.80 Median $5.25 Typical High $7.08 | Professional | 55 · Aftercare only | $3.80 | $5.25 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $3.55 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.57 | $3.55 | $4.68 |
Where Nevada sits
The same service costs 2.5 times more in Alaska 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· 38th of 51
$34.67
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.