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 $69.18 Median $69.18 Typical High $79.43 | Facility | None | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | None | $69.18 | $69.18 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $288.40 | Facility | None | $204.17 | $213.80 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $93.33 | Professional | None | $91.20 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Facility | None | $97.72 | $97.72 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $131.83 | Professional | None | $70.79 | $70.79 | $131.83 |
Hometown Health Setting Professional Modifier None Typical Low $117.49 Median $186.21 Typical High $346.74 | Professional | None | $117.49 | $186.21 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $4,265.80 | Facility | None | $204.17 | $204.17 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $204.17 | Professional | None | $131.83 | $165.96 | $204.17 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $100.00 | Facility | None | $95.50 | $95.50 | $100.00 |
United Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $204.17 | Professional | None | $70.79 | $107.15 | $204.17 |
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 $34.67 Median $34.67 Typical High $39.81 | Professional | 52 · Reduced service | $34.67 | $34.67 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $15.85 | Professional | 53 · Discontinued | $13.80 | $13.80 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.23 Typical High $12.02 | Professional | 55 · Aftercare only | $10.23 | $10.23 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $6.92 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.92 | $6.92 | $7.94 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $93.33 Typical High $93.33 | Professional | RR · Rental | $91.20 | $93.33 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | UE · Used equipment | $69.18 | $69.18 | $69.18 |
Where Nevada sits
The same service costs 3.2 times more in Hawaii than in Florida. 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· 26th of 51
$97.72
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.