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 $69.18 Median $69.18 Typical High $79.43 | Facility | None | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | None | $69.18 | $69.18 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $288.40 | Facility | None | $208.93 | $213.80 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $158.49 | Facility | None | $147.91 | $147.91 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $107.15 Typical High $147.91 | Professional | None | $56.23 | $107.15 | $147.91 |
Hometown Health Setting Professional Modifier None Typical Low $117.49 Median $186.21 Typical High $354.81 | Professional | None | $117.49 | $186.21 | $354.81 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $4,265.80 | Facility | None | $208.93 | $208.93 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $213.80 | Professional | None | $131.83 | $186.21 | $213.80 |
United Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $208.93 | Professional | None | $87.10 | $134.90 | $208.93 |
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 $34.67 Median $34.67 Typical High $39.81 | Professional | 52 · Reduced service | $34.67 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | 53 · Discontinued | $13.80 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $12.02 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $7.94 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | UE · Used equipment | $85.11 | $85.11 | $85.11 |
Where Nevada sits
The same service costs 5.4 times more in Kansas than in West Virginia. 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· 41st of 51
$110
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.