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 $26.92 Median $28.84 Typical High $426.58 | Facility | None | $26.92 | $28.84 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $208.93 Typical High $426.58 | Professional | None | $26.92 | $208.93 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $63.10 Typical High $549.54 | Professional | None | $24.55 | $63.10 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $46.77 Typical High $575.44 | Professional | None | $24.55 | $46.77 | $575.44 |
Hometown Health Setting Professional Modifier None Typical Low $23.44 Median $257.04 Typical High $602.56 | Professional | None | $23.44 | $257.04 | $602.56 |
Hometown Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $588.84 | Professional | None | $31.62 | $31.62 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $21.38 Median $398.11 Typical High $4,265.80 | Facility | None | $21.38 | $398.11 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $26.30 Median $245.47 Typical High $398.11 | Professional | None | $26.30 | $245.47 | $398.11 |
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 $13.49 Median $104.71 Typical High $213.80 | Professional | 52 · Reduced service | $13.49 | $104.71 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $41.69 Typical High $85.11 | Professional | 53 · Discontinued | $5.37 | $41.69 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $31.62 Typical High $63.10 | Professional | 55 · Aftercare only | $3.98 | $31.62 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.69 Median $20.89 Typical High $42.66 | Professional | 56 · Pre-op care only | $2.69 | $20.89 | $42.66 |
Where Nevada sits
The same service costs 16.2 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· 22nd of 51
$224
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.