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 $77.62 Median $77.62 Typical High $199.53 | Facility | None | $77.62 | $77.62 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $199.53 | Professional | None | $77.62 | $77.62 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $251.19 Typical High $346.74 | Facility | None | $245.47 | $251.19 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $141.25 | Facility | None | $125.89 | $125.89 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $158.49 | Professional | None | $93.33 | $93.33 | $158.49 |
Hometown Health Setting Professional Modifier None Typical Low $141.25 Median $223.87 Typical High $416.87 | Professional | None | $141.25 | $223.87 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $4,265.80 | Facility | None | $245.47 | $245.47 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $245.47 | Professional | None | $158.49 | $208.93 | $245.47 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Facility | None | $100.00 | $100.00 | $120.23 |
United Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $245.47 | Professional | None | $91.20 | $138.04 | $245.47 |
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 $38.90 Median $38.90 Typical High $100.00 | Professional | 52 · Reduced service | $38.90 | $38.90 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $39.81 | Professional | 53 · Discontinued | $15.49 | $15.49 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $30.20 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $19.95 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $19.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | RR · Rental | $117.49 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | UE · Used equipment | $89.13 | $89.13 | $89.13 |
Where Nevada sits
The same service costs 2.9 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· 23rd of 51
$138
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.