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 $89.13 Median $89.13 Typical High $229.09 | Facility | None | $89.13 | $89.13 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $229.09 | Professional | None | $89.13 | $89.13 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $302.00 | Professional | None | $85.11 | $109.65 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $208.93 | Facility | None | $194.98 | $194.98 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $194.98 | Professional | None | $117.49 | $165.96 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $467.74 | Professional | None | $158.49 | $251.19 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $4,265.80 | Facility | None | $281.84 | $281.84 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $281.84 | Professional | None | $177.83 | $251.19 | $281.84 |
United Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $281.84 | Professional | None | $112.20 | $169.82 | $281.84 |
2 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 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $33.88 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $22.91 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $22.91 |
Where Nevada sits
The same service costs 2.6 times more in Montana than in New York. 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· 26th of 51
$170
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.