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 $38.90 Median $38.90 Typical High $44.67 | Facility | None | $38.90 | $38.90 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | None | $38.90 | $38.90 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $117.49 Typical High $162.18 | Facility | None | $114.82 | $117.49 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $67.61 Typical High $67.61 | Professional | None | $66.07 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $77.62 | Facility | None | $70.79 | $70.79 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $70.79 | Professional | None | $44.67 | $51.29 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $4,265.80 | Facility | None | $114.82 | $114.82 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $120.23 | Professional | None | $74.13 | $104.71 | $120.23 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $63.10 | Facility | None | $57.54 | $57.54 | $63.10 |
United Setting Professional Modifier None Typical Low $48.98 Median $81.28 Typical High $114.82 | Professional | None | $48.98 | $81.28 | $114.82 |
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 $19.50 Median $19.50 Typical High $22.39 | Professional | 52 · Reduced service | $19.50 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.91 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $4.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | RR · Rental | $67.61 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | UE · Used equipment | $50.12 | $50.12 | $50.12 |
Where Nevada sits
The same service costs 2.4 times more in Montana 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· 49th of 51
$54.95
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.