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 $23.99 Median $25.70 Typical High $426.58 | Facility | None | $23.99 | $25.70 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $158.49 Typical High $426.58 | Professional | None | $23.99 | $158.49 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $57.54 Typical High $549.54 | Professional | None | $21.88 | $57.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $40.74 Typical High $562.34 | Professional | None | $21.38 | $40.74 | $562.34 |
Hometown Health Setting Professional Modifier None Typical Low $20.42 Median $263.03 Typical High $549.54 | Professional | None | $20.42 | $263.03 | $549.54 |
Hometown Health Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $549.54 | Professional | None | $27.54 | $27.54 | $549.54 |
Select Health Setting Facility Modifier None Typical Low $18.20 Median $371.54 Typical High $4,265.80 | Facility | None | $18.20 | $371.54 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $23.44 Median $186.21 Typical High $371.54 | Professional | None | $23.44 | $186.21 | $371.54 |
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 $12.02 Median $79.43 Typical High $213.80 | Professional | 52 · Reduced service | $12.02 | $79.43 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $31.62 Typical High $85.11 | Professional | 53 · Discontinued | $4.79 | $31.62 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $23.99 Typical High $64.57 | Professional | 55 · Aftercare only | $3.55 | $23.99 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $15.85 Typical High $42.66 | Professional | 56 · Pre-op care only | $2.40 | $15.85 | $42.66 |
Where Nevada sits
The same service costs 17.4 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· 29th of 51
$166
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.