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 $29.51 Median $29.51 Typical High $33.88 | Facility | None | $29.51 | $29.51 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $38.02 | Professional | None | $26.30 | $29.51 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $91.20 Typical High $123.03 | Facility | None | $89.13 | $91.20 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $47.86 Typical High $47.86 | Professional | None | $46.77 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $54.95 | Facility | None | $50.12 | $50.12 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $36.31 Typical High $50.12 | Professional | None | $10.96 | $36.31 | $50.12 |
Hometown Health Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $147.91 | Professional | None | $57.54 | $87.10 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $4,265.80 | Facility | None | $89.13 | $89.13 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $91.20 | Professional | None | $56.23 | $79.43 | $91.20 |
United Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $89.13 | Professional | None | $36.31 | $56.23 | $89.13 |
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 $14.79 Median $14.79 Typical High $16.98 | Professional | 52 · Reduced service | $14.79 | $14.79 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.76 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $5.13 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $2.95 Typical High $3.39 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $3.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | RR · Rental | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | UE · Used equipment | $34.67 | $34.67 | $36.31 |
Where Nevada sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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· 48th of 51
$39.81
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.