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 $30.20 Median $30.20 Typical High $34.67 | Facility | None | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $43.65 | Professional | None | $21.88 | $30.20 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $75.86 | Professional | None | $57.54 | $67.61 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $93.33 Typical High $125.89 | Facility | None | $89.13 | $93.33 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Facility | None | $45.71 | $45.71 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | None | $33.11 | $33.11 | $52.48 |
Hometown Health Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $151.36 | Professional | None | $51.29 | $81.28 | $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 $57.54 Median $72.44 Typical High $89.13 | Professional | None | $57.54 | $72.44 | $89.13 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Facility | None | $43.65 | $43.65 | $52.48 |
United Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $89.13 | Professional | None | $30.90 | $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 $15.14 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $4.47 Typical High $5.25 | Professional | 55 · Aftercare only | $4.47 | $4.47 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | UE · Used equipment | $30.20 | $30.20 | $30.20 |
Where Nevada sits
The same service costs 3.8 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· 28th of 51
$45.71
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.