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 $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $23.99 | Professional | None | $20.89 | $23.99 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.39 Median $26.30 Typical High $47.86 | Professional | None | $22.39 | $26.30 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $23.99 Typical High $23.99 | Professional | None | $10.23 | $23.99 | $23.99 |
Hometown Health Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $43.65 | Professional | None | $21.38 | $30.90 | $43.65 |
Hometown Health Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $4,265.80 | Facility | None | $25.70 | $25.70 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | None | $19.50 | $19.50 | $25.70 |
United Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $38.90 | Professional | None | $14.45 | $23.99 | $38.90 |
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 $10.47 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $10.47 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.79 Typical High $4.79 | Professional | 53 · Discontinued | $4.17 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $3.16 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.09 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $2.09 | $2.40 | $2.40 |
Where Nevada sits
The same service costs 4.1 times more in Wyoming than in Kentucky. 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· 33rd of 51
$23.99
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.