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 $52.48 Median $52.48 Typical High $60.26 | Facility | None | $52.48 | $52.48 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None | $52.48 | $52.48 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $162.18 Typical High $218.78 | Facility | None | $158.49 | $162.18 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | None | $85.11 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $97.72 | Facility | None | $89.13 | $89.13 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $89.13 | Professional | None | $64.57 | $64.57 | $89.13 |
Hometown Health Setting Professional Modifier None Typical Low $89.13 Median $141.25 Typical High $263.03 | Professional | None | $89.13 | $141.25 | $263.03 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $4,265.80 | Facility | None | $158.49 | $158.49 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $162.18 | Professional | None | $100.00 | $141.25 | $162.18 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $66.07 Median $100.00 Typical High $158.49 | Professional | None | $66.07 | $100.00 | $158.49 |
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 $26.30 Median $26.30 Typical High $30.20 | Professional | 52 · Reduced service | $26.30 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $12.02 | Professional | 53 · Discontinued | $10.47 | $10.47 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $9.12 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.25 | $5.25 | $6.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $85.11 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $63.10 | $63.10 | $63.10 |
Where Nevada sits
The same service costs 2.8 times more in Kansas 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· 40th of 51
$85.11
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.