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 $61.66 Median $61.66 Typical High $70.79 | Facility | None | $61.66 | $61.66 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $81.28 | Professional | None | $44.67 | $61.66 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $190.55 Typical High $257.04 | Facility | None | $186.21 | $190.55 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | None | $81.28 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $95.50 | Facility | None | $81.28 | $87.10 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $95.50 | Professional | None | $63.10 | $63.10 | $95.50 |
Hometown Health Setting Professional Modifier None Typical Low $104.71 Median $165.96 Typical High $309.03 | Professional | None | $104.71 | $165.96 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $4,265.80 | Facility | None | $186.21 | $186.21 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $186.21 | Professional | None | $117.49 | $147.91 | $186.21 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Facility | None | $91.20 | $91.20 | $120.23 |
United Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $186.21 | Professional | None | $63.10 | $97.72 | $186.21 |
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 $30.90 Median $30.90 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $14.13 | Professional | 53 · Discontinued | $12.30 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $9.33 Typical High $10.72 | Professional | 55 · Aftercare only | $9.33 | $9.33 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.17 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.17 | $6.17 | $7.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $83.18 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | UE · Used equipment | $61.66 | $61.66 | $61.66 |
Where Nevada sits
The same service costs 5.0 times more in Hawaii than in Delaware. 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· 27th of 51
$87.10
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.