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 $70.79 Median $70.79 Typical High $181.97 | Facility | None | $70.79 | $70.79 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $181.97 | Professional | None | $70.79 | $70.79 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $229.09 Typical High $316.23 | Facility | None | $223.87 | $229.09 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | None | $138.04 | $138.04 | $141.25 |
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 $194.98 | Professional | None | $128.82 | $128.82 | $194.98 |
Hometown Health Setting Professional Modifier None Typical Low $128.82 Median $204.17 Typical High $380.19 | Professional | None | $128.82 | $204.17 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $4,265.80 | Facility | None | $223.87 | $223.87 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $263.03 | Professional | None | $144.54 | $204.17 | $263.03 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $109.65 | Facility | None | $85.11 | $85.11 | $109.65 |
United Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $223.87 | Professional | None | $100.00 | $147.91 | $223.87 |
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 $35.48 Median $35.48 Typical High $91.20 | Professional | 52 · Reduced service | $35.48 | $35.48 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $36.31 | Professional | 53 · Discontinued | $14.13 | $14.13 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $27.54 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $7.08 Typical High $18.20 | Professional | 56 · Pre-op care only | $7.08 | $7.08 | $18.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $125.89 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $125.89 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $102.33 | $102.33 | $102.33 |
Where Nevada sits
The same service costs 2.0 times more in Wisconsin 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· 25th of 51
$148
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.