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 $851.14 Median $977.24 Typical High $1,148.15 | Facility | None | $851.14 | $977.24 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,148.15 | Professional | None | $851.14 | $977.24 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $741.31 Typical High $1,380.38 | Professional | None | $35.48 | $741.31 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,258.93 | Professional | None | $954.99 | $1,258.93 | $1,258.93 |
Hometown Health Setting Professional Modifier None Typical Low $23.44 Median $691.83 Typical High $1,621.81 | Professional | None | $23.44 | $691.83 | $1,621.81 |
Hometown Health Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $2,041.74 | Professional | None | $45.71 | $45.71 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $1,348.96 Typical High $4,265.80 | Facility | None | $30.90 | $1,348.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $1,348.96 | Professional | None | $26.30 | $39.81 | $1,348.96 |
United Setting Professional Modifier None Typical Low $25.12 Median $1,047.13 Typical High $1,621.81 | Professional | None | $25.12 | $1,047.13 | $1,621.81 |
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 $537.03 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $537.03 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Where Nevada sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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· 22nd of 51
$977
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.