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 $40.74 Median $40.74 Typical High $47.86 | Facility | None | $40.74 | $40.74 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None | $40.74 | $40.74 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $125.89 Typical High $173.78 | Facility | None | $123.03 | $125.89 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $70.79 | Facility | None | $64.57 | $64.57 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | None | $46.77 | $46.77 | $87.10 |
Hometown Health Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $208.93 | Professional | None | $70.79 | $109.65 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $4,265.80 | Facility | None | $123.03 | $123.03 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $123.03 | Professional | None | $77.62 | $109.65 | $123.03 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Facility | None | $50.12 | $50.12 | $60.26 |
United Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $123.03 | Professional | None | $47.86 | $74.13 | $123.03 |
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 $20.42 Median $20.42 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | 53 · Discontinued | $8.32 | $8.32 | $9.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $7.08 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.07 | $4.07 | $4.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
Where Nevada sits
The same service costs 2.8 times more in Wisconsin 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· 30th of 51
$64.57
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.