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 $107.15 Median $120.23 Typical High $141.25 | Facility | None | $107.15 | $120.23 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $141.25 | Professional | None | $104.71 | $120.23 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $281.84 | Professional | None | $125.89 | $144.54 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $194.98 | Professional | None | $107.15 | $107.15 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $165.96 | Professional | None | $100.00 | $128.82 | $165.96 |
Hometown Health Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $131.83 | Professional | None | $1.15 | $1.15 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $4,265.80 | Facility | None | $87.10 | $87.10 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $181.97 | Professional | None | $87.10 | $131.83 | $181.97 |
3 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 $50.12 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.98 Typical High $17.78 | Professional | 55 · Aftercare only | $15.14 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.22 Typical High $12.02 | Professional | 56 · Pre-op care only | $10.00 | $11.22 | $12.02 |
Where Nevada sits
The same service costs 2.0 times more in Alaska 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· 37th of 51
$120
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.