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 $93.33 Median $93.33 Typical High $107.15 | Facility | None | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | None | $93.33 | $93.33 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $288.40 | Facility | None | $204.17 | $213.80 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $204.17 Typical High $204.17 | Professional | None | $199.53 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $239.88 | Facility | None | $213.80 | $213.80 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $257.04 | Professional | None | $158.49 | $158.49 | $257.04 |
Hometown Health Setting Professional Modifier None Typical Low $154.88 Median $204.17 Typical High $363.08 | Professional | None | $154.88 | $204.17 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $4,265.80 | Facility | None | $204.17 | $204.17 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $346.74 | Professional | None | $141.25 | $186.21 | $346.74 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42 | Facility | None | $213.80 | $213.80 | $234.42 |
United Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $288.40 | Professional | None | $147.91 | $186.21 | $288.40 |
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 $46.77 Median $46.77 Typical High $53.70 | Professional | 52 · Reduced service | $46.77 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $18.62 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $16.22 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $10.72 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $10.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | RR · Rental | $194.98 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | UE · Used equipment | $147.91 | $147.91 | $147.91 |
Where Nevada sits
The same service costs 2.9 times more in Hawaii than in Utah. 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· 42nd of 51
$166
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.