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 $18.62 Median $19.95 Typical High $501.19 | Facility | None | $18.62 | $19.95 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $501.19 | Professional | None | $18.62 | $21.38 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $165.96 Typical High $645.65 | Professional | None | $17.78 | $165.96 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $17.78 Typical High $371.54 | Professional | None | $13.80 | $17.78 | $371.54 |
Hometown Health Setting Professional Modifier None Typical Low $15.14 Median $26.30 Typical High $602.56 | Professional | None | $15.14 | $26.30 | $602.56 |
Hometown Health Setting Professional Modifier None Typical Low $0.76 Median $22.91 Typical High $602.56 | Professional | None | $0.76 | $22.91 | $602.56 |
Select Health Setting Facility Modifier None Typical Low $15.14 Median $398.11 Typical High $4,265.80 | Facility | None | $15.14 | $398.11 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $19.05 Median $102.33 Typical High $467.74 | Professional | None | $19.05 | $102.33 | $467.74 |
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 $9.33 Median $10.00 Typical High $251.19 | Professional | 52 · Reduced service | $9.33 | $10.00 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.98 Typical High $102.33 | Professional | 53 · Discontinued | $3.72 | $3.98 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.75 Median $3.02 Typical High $75.86 | Professional | 55 · Aftercare only | $2.75 | $3.02 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.86 Median $2.00 Typical High $50.12 | Professional | 56 · Pre-op care only | $1.86 | $2.00 | $50.12 |
Where Nevada sits
The same service costs 28.2 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· 31st of 51
$102
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.