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 $64.57 Median $64.57 Typical High $74.13 | Facility | None | $64.57 | $64.57 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $74.13 | Professional | None | $50.12 | $64.57 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $269.15 | Facility | None | $190.55 | $194.98 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | None | $93.33 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Facility | None | $117.49 | $117.49 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $125.89 | Professional | None | $83.18 | $85.11 | $125.89 |
Hometown Health Setting Professional Modifier None Typical Low $109.65 Median $173.78 Typical High $323.59 | Professional | None | $109.65 | $173.78 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $4,265.80 | Facility | None | $190.55 | $190.55 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $190.55 | Professional | None | $123.03 | $162.18 | $190.55 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $190.55 | Professional | None | $70.79 | $107.15 | $190.55 |
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 $31.62 Median $31.62 Typical High $37.15 | Professional | 52 · Reduced service | $31.62 | $31.62 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.79 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $10.96 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $6.46 Typical High $7.41 | Professional | 56 · Pre-op care only | $6.46 | $6.46 | $7.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $91.20 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | UE · Used equipment | $70.79 | $70.79 | $70.79 |
Where Nevada sits
The same service costs 2.4 times more in Hawaii than in Colorado. 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
$100
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.