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 $117.49 Median $117.49 Typical High $134.90 | Facility | None | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | None | $117.49 | $117.49 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $354.81 Typical High $489.78 | Facility | None | $346.74 | $354.81 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $169.82 | Facility | None | $158.49 | $158.49 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $223.87 | Professional | None | $117.49 | $117.49 | $223.87 |
Hometown Health Setting Professional Modifier None Typical Low $199.53 Median $316.23 Typical High $588.84 | Professional | None | $199.53 | $316.23 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $4,265.80 | Facility | None | $346.74 | $346.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $346.74 | Professional | None | $223.87 | $288.40 | $346.74 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $346.74 | Professional | None | $120.23 | $181.97 | $346.74 |
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 $58.88 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | 55 · Aftercare only | $17.38 | $17.38 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $11.75 Typical High $13.49 | Professional | 56 · Pre-op care only | $11.75 | $11.75 | $13.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | RR · Rental | $154.88 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | UE · Used equipment | $117.49 | $117.49 | $117.49 |
Where Nevada sits
The same service costs 4.4 times more in Hawaii than in Kansas. 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· 22nd of 51
$170
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.