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 $34.67 Median $34.67 Typical High $39.81 | Facility | None | $34.67 | $34.67 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | None | $34.67 | $34.67 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $144.54 | Facility | None | $104.71 | $107.15 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $60.26 | Facility | None | $54.95 | $54.95 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $54.95 | Professional | None | $38.02 | $39.81 | $54.95 |
Hometown Health Setting Professional Modifier None Typical Low $58.88 Median $93.33 Typical High $173.78 | Professional | None | $58.88 | $93.33 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $4,265.80 | Facility | None | $104.71 | $104.71 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $104.71 | Professional | None | $66.07 | $93.33 | $104.71 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $35.48 Median $54.95 Typical High $104.71 | Professional | None | $35.48 | $54.95 | $104.71 |
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 $17.38 Median $17.38 Typical High $19.95 | Professional | 52 · Reduced service | $17.38 | $17.38 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.94 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | 55 · Aftercare only | $5.25 | $5.25 | $6.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $3.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $33.88 | $33.88 | $33.88 |
Where Nevada sits
The same service costs 3.5 times more in Hawaii than in West Virginia. 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· 27th of 51
$53.70
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.