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 $120.23 Median $120.23 Typical High $141.25 | Facility | None | $120.23 | $120.23 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $120.23 Typical High $158.49 | Professional | None | $89.13 | $120.23 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $371.54 Typical High $512.86 | Facility | None | $363.08 | $371.54 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $154.88 | Professional | None | $125.89 | $128.82 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $234.42 | Professional | None | $128.82 | $128.82 | $234.42 |
Hometown Health Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $616.60 | Professional | None | $208.93 | $323.59 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $4,265.80 | Facility | None | $363.08 | $363.08 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $229.09 Median $316.23 Typical High $363.08 | Professional | None | $229.09 | $316.23 | $363.08 |
United Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $186.21 | Facility | None | $177.83 | $177.83 | $186.21 |
United Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $363.08 | Professional | None | $123.03 | $190.55 | $363.08 |
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 $60.26 Median $60.26 Typical High $70.79 | Professional | 52 · Reduced service | $60.26 | $60.26 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | 53 · Discontinued | $24.55 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $20.89 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $14.13 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $14.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Where Nevada sits
The same service costs 3.5 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· 26th of 51
$178
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.