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 $53.70 Median $53.70 Typical High $61.66 | Facility | None | $53.70 | $53.70 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None | $53.70 | $53.70 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $223.87 | Facility | None | $158.49 | $165.96 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $81.28 | Facility | None | $74.13 | $74.13 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $104.71 | Professional | None | $53.70 | $53.70 | $104.71 |
Hometown Health Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $269.15 | Professional | None | $91.20 | $144.54 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $4,265.80 | Facility | None | $158.49 | $158.49 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $158.49 | Professional | None | $102.33 | $128.82 | $158.49 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $79.43 | Facility | None | $77.62 | $77.62 | $79.43 |
United Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $158.49 | Professional | None | $54.95 | $83.18 | $158.49 |
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 $26.92 Median $26.92 Typical High $30.90 | Professional | 52 · Reduced service | $26.92 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $12.30 | Professional | 53 · Discontinued | $10.72 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $7.94 Typical High $9.33 | Professional | 55 · Aftercare only | $7.94 | $7.94 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $5.37 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.37 | $5.37 | $6.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | UE · Used equipment | $51.29 | $51.29 | $51.29 |
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· 22nd of 51
$77.62
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.