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 $173.78 Median $190.55 Typical High $229.09 | Facility | None | $173.78 | $190.55 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $194.98 Typical High $229.09 | Professional | None | $173.78 | $194.98 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $234.42 Typical High $457.09 | Professional | None | $204.17 | $234.42 | $457.09 |
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 $173.78 Median $177.83 Typical High $371.54 | Professional | None | $173.78 | $177.83 | $371.54 |
Hometown Health Setting Professional Modifier None Typical Low $194.98 Median $229.09 Typical High $323.59 | Professional | None | $194.98 | $229.09 | $323.59 |
Hometown Health Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $281.84 | Professional | None | $1.95 | $1.95 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $4,265.80 | Facility | None | $186.21 | $186.21 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $323.59 | Professional | None | $186.21 | $213.80 | $323.59 |
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 $89.13 Median $91.20 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $27.54 Typical High $28.84 | Professional | 55 · Aftercare only | $26.92 | $27.54 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $18.20 Typical High $19.05 | Professional | 56 · Pre-op care only | $17.78 | $18.20 | $19.05 |
Where Nevada sits
The same service costs 2.4 times more in Alaska than in Utah. 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· 39th of 51
$204
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.