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 $44.67 Median $44.67 Typical High $51.29 | Facility | None | $44.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | None | $44.67 | $44.67 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $134.90 Typical High $186.21 | Facility | None | $131.83 | $134.90 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $93.33 | Facility | None | $83.18 | $83.18 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $93.33 | Professional | None | $53.70 | $61.66 | $93.33 |
Hometown Health Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $223.87 | Professional | None | $75.86 | $120.23 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $4,265.80 | Facility | None | $131.83 | $131.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $131.83 | Professional | None | $85.11 | $117.49 | $131.83 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $72.44 | Facility | None | $64.57 | $64.57 | $72.44 |
United Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $131.83 | Professional | None | $45.71 | $69.18 | $131.83 |
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 $22.39 Median $22.39 Typical High $25.70 | Professional | 52 · Reduced service | $22.39 | $22.39 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $10.23 | Professional | 53 · Discontinued | $8.91 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $7.59 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $5.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $44.67 | $44.67 | $44.67 |
Where Nevada sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 23rd of 51
$69.18
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.