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 $16.98 Median $134.90 Typical High $177.83 | Facility | None | $16.98 | $134.90 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $151.36 Typical High $177.83 | Professional | None | $16.98 | $151.36 | $177.83 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $190.55 | Professional | None | $117.49 | $138.04 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $346.74 | Professional | None | $114.82 | $181.97 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $131.83 Typical High $245.47 | Professional | None | $117.49 | $131.83 | $245.47 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $3.63 | Professional | None | $1.51 | $1.51 | $3.63 |
Hometown Health Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | None | $1.51 | $1.51 | $1.51 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $4,265.80 | Facility | None | $138.04 | $138.04 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
United Setting Professional Modifier None Typical Low $125.89 Median $165.96 Typical High $257.04 | Professional | None | $125.89 | $165.96 | $257.04 |
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 $8.51 Median $8.51 Typical High $70.79 | Professional | 52 · Reduced service | $8.51 | $8.51 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $21.38 Typical High $23.99 | Professional | 55 · Aftercare only | $17.78 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $14.13 Typical High $16.22 | Professional | 56 · Pre-op care only | $11.75 | $14.13 | $16.22 |
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
$151
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.