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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $109.65 Typical High $109.65 | Professional | None | $66.07 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $33.11 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $13.18 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $16.22 Typical High $16.60 | Professional | 55 · Aftercare only | $10.00 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $10.96 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.61 | $10.96 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $131.83 Typical High $177.83 | Facility | None | $128.82 | $131.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $169.82 | Professional | None | $63.10 | $63.10 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $97.72 | Professional | None | $61.66 | $61.66 | $97.72 |
Hometown Health Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $138.04 | Professional | None | $104.71 | $128.82 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $4,265.80 | Facility | None | $128.82 | $128.82 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $131.83 | Professional | None | $89.13 | $120.23 | $131.83 |
United Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $117.49 | Professional | None | $58.88 | $77.62 | $117.49 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Nevada sits
The same service costs 2.5 times more in Minnesota than in Utah. 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· 16th of 51
$110
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.