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 $91.20 Median $91.20 Typical High $234.42 | Facility | None | $91.20 | $91.20 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $234.42 | Professional | None | $91.20 | $91.20 | $234.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $288.40 Median $295.12 Typical High $398.11 | Facility | None | $288.40 | $295.12 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $131.83 | Professional | None | $125.89 | $125.89 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $186.21 | Facility | None | $165.96 | $165.96 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $186.21 | Professional | None | $117.49 | $120.23 | $186.21 |
Hometown Health Setting Professional Modifier None Typical Low $165.96 Median $257.04 Typical High $489.78 | Professional | None | $165.96 | $257.04 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $4,265.80 | Facility | None | $288.40 | $288.40 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $288.40 | Professional | None | $181.97 | $251.19 | $288.40 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $141.25 | Facility | None | $138.04 | $138.04 | $141.25 |
United Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $288.40 | Professional | None | $100.00 | $151.36 | $288.40 |
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 $45.71 Median $45.71 Typical High $117.49 | Professional | 52 · Reduced service | $45.71 | $45.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $46.77 | Professional | 53 · Discontinued | $18.20 | $18.20 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $35.48 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $35.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.12 Typical High $23.44 | Professional | 56 · Pre-op care only | $9.12 | $9.12 | $23.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $125.89 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | UE · Used equipment | $95.50 | $95.50 | $95.50 |
Where Nevada sits
The same service costs 2.8 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· 25th of 51
$151
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.