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 $34.67 | Facility | None | $29.51 | $29.51 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $34.67 | Professional | None | $21.88 | $29.51 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $91.20 Typical High $125.89 | Facility | None | $89.13 | $91.20 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | None | $39.81 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $69.18 | Facility | None | $46.77 | $46.77 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $66.07 | Professional | None | $33.88 | $33.88 | $66.07 |
Hometown Health Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $151.36 | Professional | None | $51.29 | $79.43 | $151.36 |
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 $70.79 Typical High $89.13 | Professional | None | $56.23 | $70.79 | $89.13 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $89.13 | Professional | None | $30.20 | $46.77 | $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 $17.38 | Professional | 52 · Reduced service | $14.79 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $6.92 | Professional | 53 · Discontinued | $5.89 | $5.89 | $6.92 |
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 $3.47 | Professional | 56 · Pre-op care only | $2.95 | $2.95 | $3.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $40.74 Typical High $40.74 | Professional | RR · Rental | $39.81 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
Where Nevada sits
The same service costs 3.1 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
$46.77
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.