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 $47.86 Median $47.86 Typical High $54.95 | Facility | None | $47.86 | $47.86 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | None | $47.86 | $47.86 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $147.91 Typical High $199.53 | Facility | None | $141.25 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | None | $61.66 | $61.66 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $74.13 | Facility | None | $66.07 | $66.07 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $91.20 | Professional | None | $48.98 | $48.98 | $91.20 |
Hometown Health Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $239.88 | Professional | None | $81.28 | $128.82 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $4,265.80 | Facility | None | $141.25 | $141.25 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $141.25 | Professional | None | $91.20 | $114.82 | $141.25 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Facility | None | $61.66 | $61.66 | $69.18 |
United Setting Professional Modifier None Typical Low $48.98 Median $74.13 Typical High $141.25 | Professional | None | $48.98 | $74.13 | $141.25 |
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 $23.99 Median $23.99 Typical High $27.54 | Professional | 52 · Reduced service | $23.99 | $23.99 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $10.96 | Professional | 53 · Discontinued | $9.55 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $4.79 Typical High $5.50 | Professional | 56 · Pre-op care only | $4.79 | $4.79 | $5.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | RR · Rental | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
Where Nevada sits
The same service costs 3.5 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· 25th of 51
$69.18
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.