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 $120.23 Median $120.23 Typical High $309.03 | Facility | None | $120.23 | $120.23 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $309.03 | Professional | None | $120.23 | $120.23 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $389.05 Typical High $537.03 | Facility | None | $380.19 | $389.05 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | None | $169.82 | $169.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Facility | None | $173.78 | $173.78 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $245.47 | Professional | None | $128.82 | $128.82 | $245.47 |
Hometown Health Setting Professional Modifier None Typical Low $218.78 Median $338.84 Typical High $645.65 | Professional | None | $218.78 | $338.84 | $645.65 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $4,265.80 | Facility | None | $380.19 | $380.19 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $380.19 | Professional | None | $239.88 | $302.00 | $380.19 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $229.09 | Facility | None | $186.21 | $186.21 | $229.09 |
United Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $380.19 | Professional | None | $131.83 | $199.53 | $380.19 |
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 $60.26 Median $60.26 Typical High $154.88 | Professional | 52 · Reduced service | $60.26 | $60.26 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $61.66 | Professional | 53 · Discontinued | $23.99 | $23.99 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $46.77 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $30.90 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $30.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | RR · Rental | $169.82 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | UE · Used equipment | $128.82 | $128.82 | $128.82 |
Where Nevada sits
The same service costs 4.0 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· 21st of 51
$200
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.