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 $61.66 Median $61.66 Typical High $83.18 | Facility | None | $61.66 | $61.66 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $85.11 | Professional | None | $61.66 | $70.79 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | None | $74.13 | $74.13 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $151.36 | Professional | None | $51.29 | $79.43 | $151.36 |
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 $57.54 Median $57.54 Typical High $131.83 | Professional | None | $57.54 | $57.54 | $131.83 |
Hometown Health Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $128.82 | Professional | None | $66.07 | $89.13 | $128.82 |
Hometown Health Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $112.20 | Professional | None | $0.89 | $0.89 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $4,265.80 | Facility | None | $74.13 | $74.13 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $114.82 | Professional | None | $47.86 | $74.13 | $114.82 |
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 $30.90 Median $30.90 Typical High $34.67 | Professional | 52 · Reduced service | $30.90 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $6.92 |
Where Nevada sits
The same service costs 2.3 times more in Alaska than in New Jersey. 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· 47th of 51
$72.44
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.