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 $47.86 Median $47.86 Typical High $56.23 | Facility | None | $47.86 | $47.86 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | None | $47.86 | $47.86 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $147.91 Typical High $199.53 | Facility | None | $144.54 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | None | $64.57 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $75.86 | Facility | None | $69.18 | $69.18 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | None | $50.12 | $50.12 | $93.33 |
Hometown Health Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $245.47 | Professional | None | $81.28 | $128.82 | $245.47 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $4,265.80 | Facility | None | $144.54 | $144.54 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $144.54 | Professional | None | $91.20 | $114.82 | $144.54 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $83.18 | Facility | None | $70.79 | $70.79 | $83.18 |
United Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $144.54 | Professional | None | $48.98 | $75.86 | $144.54 |
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 $23.99 Median $23.99 Typical High $27.54 | Professional | 52 · Reduced service | $23.99 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $11.22 | Professional | 53 · Discontinued | $9.55 | $9.55 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $7.24 Typical High $8.32 | Professional | 55 · Aftercare only | $7.24 | $7.24 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $5.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $64.57 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $47.86 | $47.86 | $47.86 |
Where Nevada sits
The same service costs 4.4 times more in Hawaii 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· 23rd of 51
$75.86
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.