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 $323.59 Median $363.08 Typical High $426.58 | Facility | None | $323.59 | $363.08 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $426.58 | Professional | None | $323.59 | $363.08 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $380.19 Typical High $562.34 | Professional | None | $309.03 | $380.19 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | None | $346.74 | $457.09 | $457.09 |
Hometown Health Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $588.84 | Professional | None | $275.42 | $363.08 | $588.84 |
Hometown Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $724.44 | Professional | None | $537.03 | $537.03 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $4,265.80 | Facility | None | $363.08 | $489.78 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $331.13 Typical High $489.78 | Professional | None | $295.12 | $331.13 | $489.78 |
United Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $602.56 | Professional | None | $295.12 | $398.11 | $602.56 |
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 $208.93 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $208.93 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $63.10 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $41.69 | $42.66 | $42.66 |
Where Nevada sits
The same service costs 2.1 times more in Wyoming 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· 35th of 51
$380
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.