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 $19.50 Median $22.39 Typical High $239.88 | Facility | None | $19.50 | $22.39 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $177.83 Typical High $239.88 | Professional | None | $19.50 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $11.22 Typical High $85.11 | Professional | 52 · Reduced service | $9.77 | $11.22 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | None | $269.15 | $269.15 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $190.55 | Professional | None | $131.83 | $154.88 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $281.84 | Professional | None | $151.36 | $177.83 | $281.84 |
Hometown Health Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $223.87 | Professional | None | $1.91 | $1.91 | $223.87 |
Hometown Health Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $208.93 Typical High $4,265.80 | Facility | None | $177.83 | $208.93 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $263.03 | Professional | None | $131.83 | $162.18 | $263.03 |
United Setting Professional Modifier None Typical Low $131.83 Median $213.80 Typical High $288.40 | Professional | None | $131.83 | $213.80 | $288.40 |
2 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 55 · Aftercare only Typical Low $21.88 Median $27.54 Typical High $33.88 | Professional | 55 · Aftercare only | $21.88 | $27.54 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $18.62 Typical High $22.91 | Professional | 56 · Pre-op care only | $14.79 | $18.62 | $22.91 |
Where Nevada sits
The same service costs 2.4 times more in Alaska than in Alabama. 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
$191
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.