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 $32.36 Median $32.36 Typical High $37.15 | Facility | None | $32.36 | $32.36 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | None | $32.36 | $32.36 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $95.50 Median $100.00 Typical High $134.90 | Facility | None | $95.50 | $100.00 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | None | $57.54 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $64.57 | Facility | None | $58.88 | $58.88 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $75.86 | Professional | None | $42.66 | $42.66 | $75.86 |
Hometown Health Setting Professional Modifier None Typical Low $54.95 Median $87.10 Typical High $162.18 | Professional | None | $54.95 | $87.10 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $4,265.80 | Facility | None | $95.50 | $95.50 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $112.20 | Professional | None | $61.66 | $87.10 | $112.20 |
United Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $46.77 | Facility | None | $40.74 | $40.74 | $46.77 |
United Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $95.50 | Professional | None | $43.65 | $67.61 | $95.50 |
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 $16.22 Median $16.22 Typical High $18.62 | Professional | 52 · Reduced service | $16.22 | $16.22 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $7.41 | Professional | 53 · Discontinued | $6.46 | $6.46 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $5.62 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $3.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $57.54 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $42.66 | $42.66 | $42.66 |
Where Nevada sits
The same service costs 2.5 times more in Arkansas 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· 34th of 51
$58.88
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.