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 $69.18 Median $69.18 Typical High $81.28 | Facility | None | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $83.18 | Professional | None | $69.18 | $69.18 | $83.18 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $295.12 | Facility | None | $208.93 | $213.80 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $154.88 | Facility | None | $141.25 | $141.25 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $158.49 | Professional | None | $102.33 | $102.33 | $158.49 |
Hometown Health Setting Professional Modifier None Typical Low $120.23 Median $186.21 Typical High $354.81 | Professional | None | $120.23 | $186.21 | $354.81 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $4,265.80 | Facility | None | $208.93 | $208.93 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $218.78 | Professional | None | $131.83 | $186.21 | $218.78 |
United Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $208.93 | Professional | None | $87.10 | $134.90 | $208.93 |
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 $34.67 Median $34.67 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $34.67 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $16.22 | Professional | 53 · Discontinued | $14.13 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $10.47 Typical High $12.02 | Professional | 55 · Aftercare only | $10.47 | $10.47 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $8.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | RR · Rental | $114.82 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | UE · Used equipment | $85.11 | $85.11 | $85.11 |
Where Nevada sits
The same service costs 2.0 times more in Wyoming than in New Jersey. 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· 25th of 51
$132
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.