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 $79.43 Median $79.43 Typical High $93.33 | Facility | None | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $204.17 | Professional | None | $79.43 | $79.43 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $144.54 Typical High $194.98 | Facility | None | $141.25 | $144.54 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $331.13 | Facility | None | $302.00 | $302.00 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | None | $218.78 | $218.78 | $302.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | RR · Rental | $25.70 | $25.70 | $30.20 |
Hometown Health Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $281.84 | Professional | None | $104.71 | $141.25 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $4,265.80 | Facility | None | $141.25 | $141.25 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $407.38 | Professional | None | $95.50 | $125.89 | $407.38 |
United Setting Professional Modifier None Typical Low $104.71 Median $218.78 Typical High $371.54 | Professional | None | $104.71 | $218.78 | $371.54 |
5 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 $39.81 Median $39.81 Typical High $58.88 | Professional | 52 · Reduced service | $39.81 | $39.81 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $23.44 | Professional | 53 · Discontinued | $15.85 | $15.85 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $17.78 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $11.75 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $11.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | UE · Used equipment | $213.80 | $213.80 | $213.80 |
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
$209
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.