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 $42.66 Median $42.66 Typical High $48.98 | Facility | None | $42.66 | $42.66 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | None | $42.66 | $42.66 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $131.83 Typical High $177.83 | Facility | None | $125.89 | $131.83 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $75.86 | Facility | None | $70.79 | $70.79 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $51.29 Typical High $70.79 | Professional | None | $25.70 | $51.29 | $70.79 |
Hometown Health Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $213.80 | Professional | None | $83.18 | $123.03 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $4,265.80 | Facility | None | $125.89 | $125.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $131.83 | Professional | None | $81.28 | $114.82 | $131.83 |
United Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $125.89 | Professional | None | $52.48 | $81.28 | $125.89 |
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 $21.38 Median $21.38 Typical High $24.55 | Professional | 52 · Reduced service | $21.38 | $21.38 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $9.77 | Professional | 53 · Discontinued | $8.51 | $8.51 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $7.41 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.27 Typical High $4.90 | Professional | 56 · Pre-op care only | $4.27 | $4.27 | $4.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | RR · Rental | $66.07 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | UE · Used equipment | $50.12 | $50.12 | $51.29 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii 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· 33rd of 51
$66.07
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.