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 $26.30 Median $26.30 Typical High $30.20 | Facility | None | $26.30 | $26.30 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | None | $26.30 | $26.30 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $81.28 Typical High $109.65 | Facility | None | $77.62 | $81.28 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | None | $34.67 | $34.67 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $42.66 | Facility | None | $38.90 | $38.90 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $51.29 | Professional | None | $28.18 | $28.18 | $51.29 |
Hometown Health Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $131.83 | Professional | None | $44.67 | $70.79 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $4,265.80 | Facility | None | $77.62 | $77.62 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $79.43 | Professional | None | $50.12 | $70.79 | $79.43 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $38.02 | Facility | None | $35.48 | $35.48 | $38.02 |
United Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $77.62 | Professional | None | $26.92 | $41.69 | $77.62 |
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 $13.18 Median $13.18 Typical High $15.14 | Professional | 52 · Reduced service | $13.18 | $13.18 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $4.57 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.63 | $2.63 | $3.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | RR · Rental | $34.67 | $34.67 | $34.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | UE · Used equipment | $26.30 | $26.30 | $26.30 |
Where Nevada sits
The same service costs 3.0 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· 27th of 51
$38.90
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.