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 $58.88 Median $58.88 Typical High $67.61 | Facility | None | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | None | $58.88 | $58.88 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $181.97 Typical High $245.47 | Facility | None | $173.78 | $181.97 | $245.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $81.28 | Professional | None | $77.62 | $77.62 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $87.10 | Facility | None | $81.28 | $81.28 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $112.20 | Professional | None | $58.88 | $58.88 | $112.20 |
Hometown Health Setting Professional Modifier None Typical Low $100.00 Median $158.49 Typical High $295.12 | Professional | None | $100.00 | $158.49 | $295.12 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $4,265.80 | Facility | None | $173.78 | $173.78 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $173.78 | Professional | None | $112.20 | $141.25 | $173.78 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $85.11 | Facility | None | $79.43 | $79.43 | $85.11 |
United Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $173.78 | Professional | None | $60.26 | $91.20 | $173.78 |
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 $29.51 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $29.51 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $13.49 | Professional | 53 · Discontinued | $11.75 | $11.75 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $10.23 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.76 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $58.88 | $58.88 | $58.88 |
Where Nevada sits
The same service costs 5.1 times more in Kansas than in Florida. 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· 22nd of 51
$85.11
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.