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 $72.44 Median $72.44 Typical High $83.18 | Facility | None | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | None | $72.44 | $72.44 | $83.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $223.87 Typical High $302.00 | Facility | None | $218.78 | $223.87 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $117.49 | Facility | None | $109.65 | $109.65 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $141.25 | Professional | None | $81.28 | $81.28 | $141.25 |
Hometown Health Setting Professional Modifier None Typical Low $123.03 Median $194.98 Typical High $363.08 | Professional | None | $123.03 | $194.98 | $363.08 |
Select Health Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $4,265.80 | Facility | None | $218.78 | $218.78 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $138.04 Median $194.98 Typical High $239.88 | Professional | None | $138.04 | $194.98 | $239.88 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $107.15 | Facility | None | $89.13 | $89.13 | $107.15 |
United Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $218.78 | Professional | None | $81.28 | $125.89 | $218.78 |
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 $36.31 Median $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $16.98 | Professional | 53 · Discontinued | $14.45 | $14.45 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $10.96 Typical High $12.59 | Professional | 55 · Aftercare only | $10.96 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $8.32 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $8.32 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | UE · Used equipment | $81.28 | $81.28 | $81.28 |
Where Nevada sits
The same service costs 3.0 times more in Montana 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· 21st of 51
$112
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.