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 $72.44 Median $79.43 Typical High $331.13 | Facility | None | $72.44 | $79.43 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | None | $72.44 | $72.44 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $75.86 Typical High $234.42 | Facility | None | $66.07 | $75.86 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $165.96 Typical High $181.97 | Facility | None | $100.00 | $165.96 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | None | $72.44 | $72.44 | $95.50 |
Hometown Health Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $181.97 | Professional | None | $95.50 | $95.50 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $72.44 Typical High $75.86 | Professional | None | $43.65 | $72.44 | $75.86 |
United Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $112.20 | Professional | None | $54.95 | $74.13 | $112.20 |
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 $36.31 Median $36.31 Typical High $39.81 | Professional | 52 · Reduced service | $36.31 | $36.31 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | 53 · Discontinued | $14.45 | $14.45 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $12.02 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $7.94 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $7.94 |
Where Nevada sits
The same service costs 1.6 times more in Hawaii than in Delaware. 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· 29th 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.