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 $48.98 Median $48.98 Typical High $56.23 | Facility | None | $48.98 | $48.98 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | None | $48.98 | $48.98 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $151.36 Typical High $204.17 | Facility | None | $147.91 | $151.36 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | None | $64.57 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $83.18 | Facility | None | $75.86 | $75.86 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $95.50 | Professional | None | $54.95 | $54.95 | $95.50 |
Hometown Health Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $245.47 | Professional | None | $83.18 | $131.83 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $4,265.80 | Facility | None | $147.91 | $147.91 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $147.91 | Professional | None | $93.33 | $128.82 | $147.91 |
United Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $72.44 | Facility | None | $69.18 | $69.18 | $72.44 |
United Setting Professional Modifier None Typical Low $50.12 Median $77.62 Typical High $147.91 | Professional | None | $50.12 | $77.62 | $147.91 |
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 $24.55 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $24.55 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $11.22 | Professional | 53 · Discontinued | $9.77 | $9.77 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $8.51 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $5.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $47.86 | $47.86 | $47.86 |
Where Nevada sits
The same service costs 3.1 times more in Hawaii than in New Jersey. 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
$75.86
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.