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 $63.10 Median $63.10 Typical High $72.44 | Facility | None | $63.10 | $63.10 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | None | $63.10 | $63.10 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $263.03 | Facility | None | $190.55 | $194.98 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None | $85.11 | $85.11 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Facility | None | $89.13 | $89.13 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $123.03 | Professional | None | $66.07 | $66.07 | $123.03 |
Hometown Health Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $316.23 | Professional | None | $107.15 | $169.82 | $316.23 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $4,265.80 | Facility | None | $190.55 | $190.55 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $190.55 | Professional | None | $120.23 | $154.88 | $190.55 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $114.82 | Facility | None | $93.33 | $93.33 | $114.82 |
United Setting Professional Modifier None Typical Low $64.57 Median $100.00 Typical High $190.55 | Professional | None | $64.57 | $100.00 | $190.55 |
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 $31.62 Median $31.62 Typical High $36.31 | Professional | 52 · Reduced service | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | 53 · Discontinued | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $9.55 Typical High $10.96 | Professional | 55 · Aftercare only | $9.55 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.31 Median $6.31 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.31 | $6.31 | $7.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $85.11 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $63.10 | $63.10 | $63.10 |
Where Nevada sits
The same service costs 5.1 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· 21st of 51
$93.33
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.