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 $15.14 Median $15.14 Typical High $17.38 | Facility | None | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $19.50 | Professional | None | $15.14 | $15.14 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $27.54 Typical High $37.15 | Facility | None | $26.92 | $27.54 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $57.54 | Facility | None | $52.48 | $52.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | None | $44.67 | $44.67 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $4,265.80 | Facility | None | $26.92 | $26.92 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $77.62 | Professional | None | $18.20 | $23.99 | $77.62 |
United Setting Professional Modifier None Typical Low $19.95 Median $41.69 Typical High $69.18 | Professional | None | $19.95 | $41.69 | $69.18 |
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 $7.59 Median $7.59 Typical High $11.22 | Professional | 52 · Reduced service | $7.59 | $7.59 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $4.47 | Professional | 53 · Discontinued | $3.02 | $3.02 | $4.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.29 Typical High $3.31 | Professional | 55 · Aftercare only | $2.29 | $2.29 | $3.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.51 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.51 | $1.51 | $2.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $53.70 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii 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· 47th of 51
$39.81
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.