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 $15.85 Median $16.22 Typical High $354.81 | Facility | None | $15.85 | $16.22 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $16.22 | Professional | None | $15.85 | $16.22 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $28.18 | Professional | None | $15.85 | $15.85 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $24.55 | Professional | None | $13.80 | $17.38 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $30.20 | Professional | None | $14.79 | $14.79 | $30.20 |
Hometown Health Setting Professional Modifier None Typical Low $0.35 Median $12.88 Typical High $20.89 | Professional | None | $0.35 | $12.88 | $20.89 |
Hometown Health Setting Professional Modifier None Typical Low $0.35 Median $0.35 Typical High $23.99 | Professional | None | $0.35 | $0.35 | $23.99 |
Select Health Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $4,265.80 | Facility | None | $15.85 | $15.85 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $18.20 | Professional | None | $9.77 | $14.45 | $18.20 |
United Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $22.39 | Professional | None | $14.13 | $15.85 | $22.39 |
4 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 $7.94 Median $7.94 Typical High $7.94 | Professional | 52 · Reduced service | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.24 Typical High $3.24 | Professional | 53 · Discontinued | $3.16 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.34 Median $2.40 Typical High $2.40 | Professional | 55 · Aftercare only | $2.34 | $2.40 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.62 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.58 | $1.62 | $1.62 |
Where Nevada sits
The same service costs 2.8 times more in Alaska than in Louisiana. 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· 34th of 51
$16.22
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.