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 $35.48 | Facility | None | $30.20 | $30.20 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $35.48 | Professional | None | $27.54 | $30.20 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $128.82 | Facility | None | $91.20 | $93.33 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | None | $48.98 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $64.57 | Facility | None | $56.23 | $56.23 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | None | $41.69 | $41.69 | $77.62 |
Hometown Health Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $154.88 | Professional | None | $52.48 | $81.28 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $4,265.80 | Facility | None | $91.20 | $91.20 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $93.33 | Professional | None | $57.54 | $81.28 | $93.33 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $38.90 Median $58.88 Typical High $91.20 | Professional | None | $38.90 | $58.88 | $91.20 |
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 $17.78 | Professional | 52 · Reduced service | $15.14 | $15.14 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $4.57 Typical High $5.25 | Professional | 55 · Aftercare only | $4.57 | $4.57 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.02 Typical High $3.55 | Professional | 56 · Pre-op care only | $3.02 | $3.02 | $3.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $50.12 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $50.12 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | UE · Used equipment | $37.15 | $37.15 | $37.15 |
Where Nevada sits
The same service costs 2.6 times more in Kansas than in Arizona. 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· 31st of 51
$52.48
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.