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 $31.62 Median $31.62 Typical High $36.31 | Facility | None | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | None | $31.62 | $31.62 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $97.72 Typical High $131.83 | Facility | None | $93.33 | $97.72 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | None | $48.98 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $67.61 | Facility | None | $61.66 | $61.66 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $67.61 | Professional | None | $44.67 | $44.67 | $67.61 |
Hometown Health Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $158.49 | Professional | None | $53.70 | $85.11 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $4,265.80 | Facility | None | $93.33 | $93.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $93.33 | Professional | None | $60.26 | $85.11 | $93.33 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $45.71 | Facility | None | $41.69 | $41.69 | $45.71 |
United Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $93.33 | Professional | None | $38.02 | $58.88 | $93.33 |
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 $15.85 Median $15.85 Typical High $18.20 | Professional | 52 · Reduced service | $15.85 | $15.85 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $7.24 | Professional | 53 · Discontinued | $6.31 | $6.31 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $5.50 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $3.63 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $3.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $48.98 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | UE · Used equipment | $37.15 | $37.15 | $37.15 |
Where Nevada sits
The same service costs 2.5 times more in Hawaii than in Arizona. 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· 25th of 51
$56.23
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.