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 $125.89 Median $125.89 Typical High $144.54 | Facility | None | $125.89 | $125.89 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | None | $125.89 | $125.89 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $380.19 Typical High $524.81 | Facility | None | $371.54 | $380.19 | $524.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $169.82 | Professional | None | $162.18 | $162.18 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Facility | None | $169.82 | $169.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $239.88 | Professional | None | $125.89 | $125.89 | $239.88 |
Hometown Health Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $630.96 | Professional | None | $213.80 | $331.13 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $4,265.80 | Facility | None | $371.54 | $371.54 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $371.54 | Professional | None | $234.42 | $331.13 | $371.54 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $229.09 | Facility | None | $181.97 | $181.97 | $229.09 |
United Setting Professional Modifier None Typical Low $125.89 Median $194.98 Typical High $371.54 | Professional | None | $125.89 | $194.98 | $371.54 |
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 $61.66 Median $61.66 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | 56 · Pre-op care only | $12.59 | $12.59 | $14.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | RR · Rental | $162.18 | $162.18 | $162.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | UE · Used equipment | $123.03 | $123.03 | $123.03 |
Where Nevada sits
The same service costs 4.7 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· 23rd of 51
$182
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.