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 $60.26 Median $60.26 Typical High $69.18 | Facility | None | $60.26 | $60.26 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | None | $60.26 | $60.26 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $181.97 Typical High $251.19 | Facility | None | $177.83 | $181.97 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $97.72 | Facility | None | $89.13 | $89.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | None | $64.57 | $64.57 | $117.49 |
Hometown Health Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $302.00 | Professional | None | $102.33 | $162.18 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $4,265.80 | Facility | None | $177.83 | $177.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $177.83 | Professional | None | $114.82 | $144.54 | $177.83 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $87.10 | Facility | None | $70.79 | $70.79 | $87.10 |
United Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $177.83 | Professional | None | $64.57 | $100.00 | $177.83 |
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 $30.20 Median $30.20 Typical High $34.67 | Professional | 52 · Reduced service | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $13.80 | Professional | 53 · Discontinued | $12.02 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $10.23 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $83.18 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $63.10 | $63.10 | $63.10 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii 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· 23rd of 51
$93.33
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.