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 $57.54 Median $57.54 Typical High $66.07 | Facility | None | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | None | $57.54 | $57.54 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $239.88 | Facility | None | $173.78 | $177.83 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $95.50 | Professional | None | $91.20 | $91.20 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $128.82 | Facility | None | $117.49 | $117.49 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $117.49 | Professional | None | $75.86 | $85.11 | $117.49 |
Hometown Health Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $288.40 | Professional | None | $97.72 | $154.88 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $4,265.80 | Facility | None | $173.78 | $173.78 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $177.83 | Professional | None | $109.65 | $154.88 | $177.83 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $173.78 | Professional | None | $72.44 | $109.65 | $173.78 |
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 $28.84 Median $28.84 Typical High $33.11 | Professional | 52 · Reduced service | $28.84 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $13.18 | Professional | 53 · Discontinued | $11.48 | $11.48 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $10.00 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.75 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.75 | $5.75 | $6.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
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 2.1 times more in Montana 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· 37th of 51
$91.20
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.