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 $45.71 Median $45.71 Typical High $52.48 | Facility | None | $45.71 | $45.71 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $60.26 | Professional | None | $33.11 | $45.71 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $190.55 | Facility | None | $138.04 | $141.25 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | None | $61.66 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $75.86 | Facility | None | $67.61 | $67.61 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $75.86 | Professional | None | $50.12 | $50.12 | $75.86 |
Hometown Health Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $229.09 | Professional | None | $77.62 | $123.03 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $4,265.80 | Facility | None | $138.04 | $138.04 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $138.04 | Professional | None | $87.10 | $112.20 | $138.04 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
United Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $138.04 | Professional | None | $46.77 | $72.44 | $138.04 |
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 $22.91 Median $22.91 Typical High $26.30 | Professional | 52 · Reduced service | $22.91 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $10.47 | Professional | 53 · Discontinued | $9.12 | $9.12 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $6.92 Typical High $7.94 | Professional | 55 · Aftercare only | $6.92 | $6.92 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $5.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $63.10 Typical High $63.10 | Professional | RR · Rental | $61.66 | $63.10 | $63.10 |
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 4.1 times more in Hawaii 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· 29th of 51
$64.57
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.