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 $41.69 Median $41.69 Typical High $48.98 | Facility | None | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | None | $41.69 | $41.69 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $173.78 | Facility | None | $125.89 | $128.82 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | None | $54.95 | $57.54 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $69.18 | Facility | None | $63.10 | $63.10 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $81.28 | Professional | None | $45.71 | $45.71 | $81.28 |
Hometown Health Setting Professional Modifier None Typical Low $70.79 Median $112.20 Typical High $213.80 | Professional | None | $70.79 | $112.20 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $4,265.80 | Facility | None | $125.89 | $125.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $125.89 | Professional | None | $79.43 | $112.20 | $125.89 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $63.10 | Facility | None | $61.66 | $61.66 | $63.10 |
United Setting Professional Modifier None Typical Low $42.66 Median $66.07 Typical High $125.89 | Professional | None | $42.66 | $66.07 | $125.89 |
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 $20.89 Median $20.89 Typical High $23.99 | Professional | 52 · Reduced service | $20.89 | $20.89 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | 53 · Discontinued | $8.32 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $7.24 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.79 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $56.23 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $41.69 | $41.69 | $41.69 |
Where Nevada sits
The same service costs 4.3 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· 24th of 51
$63.10
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.