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 $23.99 Median $23.99 Typical High $61.66 | Facility | None | $23.99 | $23.99 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $61.66 | Professional | None | $23.99 | $23.99 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $77.62 Typical High $107.15 | Facility | None | $75.86 | $77.62 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None | $38.90 | $38.90 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $50.12 | Facility | None | $44.67 | $44.67 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | None | $33.11 | $33.11 | $50.12 |
Hometown Health Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $128.82 | Professional | None | $43.65 | $67.61 | $128.82 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $4,265.80 | Facility | None | $75.86 | $75.86 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $77.62 | Professional | None | $48.98 | $67.61 | $77.62 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Facility | None | $36.31 | $36.31 | $37.15 |
United Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $75.86 | Professional | None | $28.84 | $43.65 | $75.86 |
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 $12.02 Median $12.02 Typical High $30.90 | Professional | 52 · Reduced service | $12.02 | $12.02 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $12.30 | Professional | 53 · Discontinued | $4.79 | $4.79 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $9.33 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.40 Median $2.40 Typical High $6.17 | Professional | 56 · Pre-op care only | $2.40 | $2.40 | $6.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $37.15 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $37.15 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
Where Nevada sits
The same service costs 2.5 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· 26th of 51
$43.65
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.