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 $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | None | $67.61 | $67.61 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $208.93 Typical High $281.84 | Facility | None | $204.17 | $208.93 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Facility | None | $125.89 | $125.89 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $144.54 | Professional | None | $91.20 | $91.20 | $144.54 |
Hometown Health Setting Professional Modifier None Typical Low $114.82 Median $181.97 Typical High $346.74 | Professional | None | $114.82 | $181.97 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $4,265.80 | Facility | None | $204.17 | $204.17 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $223.87 | Professional | None | $128.82 | $181.97 | $223.87 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Facility | None | $87.10 | $87.10 | $100.00 |
United Setting Professional Modifier None Typical Low $85.11 Median $131.83 Typical High $204.17 | Professional | None | $85.11 | $131.83 | $204.17 |
6 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 $33.88 Median $33.88 Typical High $38.90 | Professional | 52 · Reduced service | $33.88 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $15.85 | Professional | 53 · Discontinued | $13.49 | $13.49 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $11.75 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $6.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.76 | $6.76 | $7.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $112.20 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $83.18 | $83.18 | $83.18 |
Where Nevada sits
The same service costs 2.4 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· 33rd of 51
$117
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.