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 $52.48 Median $53.70 Typical High $77.62 | Facility | None | $52.48 | $53.70 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $81.28 | Professional | None | $53.70 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $36.31 Typical High $38.90 | Professional | 52 · Reduced service | $26.92 | $36.31 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $10.72 Typical High $11.75 | Professional | 55 · Aftercare only | $8.13 | $10.72 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $7.24 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.37 | $7.24 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $87.10 | Professional | None | $81.28 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $138.04 | Professional | None | $67.61 | $87.10 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $114.82 | Professional | None | $54.95 | $79.43 | $114.82 |
Hometown Health Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $1.29 | Professional | None | $0.79 | $0.79 | $1.29 |
Hometown Health Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $4,265.80 | Facility | None | $57.54 | $102.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $61.66 Typical High $102.33 | Professional | None | $48.98 | $61.66 | $102.33 |
United Setting Professional Modifier None Typical Low $30.90 Median $66.07 Typical High $102.33 | Professional | None | $30.90 | $66.07 | $102.33 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $85.11 Median $102.33 Typical High $102.33 | Professional | 25 · Same-day visit | $85.11 | $102.33 | $102.33 |
Where Nevada sits
The same service costs 2.9 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· 45th of 51
$74.13
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.