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 $18.62 Median $19.05 Typical High $30.20 | Facility | None | $18.62 | $19.05 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $33.11 | Professional | None | $19.05 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $14.13 Typical High $15.14 | Professional | 52 · Reduced service | $9.55 | $14.13 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $4.27 Typical High $4.57 | Professional | 55 · Aftercare only | $2.88 | $4.27 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $2.82 Typical High $3.02 | Professional | 56 · Pre-op care only | $1.91 | $2.82 | $3.02 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $33.88 Typical High $39.81 | Professional | None | $20.42 | $33.88 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $51.29 | Professional | None | $23.44 | $35.48 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $46.77 | Professional | None | $19.95 | $29.51 | $46.77 |
Hometown Health Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.32 | Professional | None | $0.20 | $0.20 | $0.32 |
Hometown Health Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | None | $0.20 | $0.20 | $0.20 |
Select Health Setting Facility Modifier None Typical Low $20.42 Median $39.81 Typical High $4,265.80 | Facility | None | $20.42 | $39.81 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $17.38 Median $23.99 Typical High $39.81 | Professional | None | $17.38 | $23.99 | $39.81 |
United Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $43.65 | Professional | None | $22.39 | $25.12 | $43.65 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | 25 · Same-day visit | $33.88 | $33.88 | $38.90 |
Ambetter Setting Professional Modifier FP · Family planning Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | FP · Family planning | $39.81 | $39.81 | $39.81 |
Where Nevada sits
The same service costs 2.8 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· 48th of 51
$29.51
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.