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 $23.99 Median $26.92 Typical High $74.13 | Facility | None | $23.99 | $26.92 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | None | $25.12 | $25.12 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 52 · Reduced service | $12.30 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.37 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $4.07 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $2.69 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $2.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $26.30 Typical High $79.43 | Facility | None | $22.91 | $26.30 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $61.66 | Facility | None | $33.88 | $56.23 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Hometown Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $53.70 | Professional | None | $39.81 | $39.81 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Select Health Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | None | $22.39 | $25.12 | $25.12 |
United Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $46.77 | Professional | None | $16.60 | $22.39 | $46.77 |
1 more rate 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 JZ · No drug discarded Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | JZ · No drug discarded | $25.12 | $25.12 | $25.12 |
Where Nevada sits
The same service costs 1.9 times more in Wyoming than in Arizona. 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· 21st of 51
$25.12
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.