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 $89.13 Median $89.13 Typical High $223.87 | Facility | None | $89.13 | $89.13 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $223.87 | Professional | None | $89.13 | $89.13 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $288.40 Typical High $389.05 | Facility | None | $275.42 | $288.40 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | None | $123.03 | $123.03 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $190.55 | Facility | None | $169.82 | $169.82 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $190.55 | Professional | None | $112.20 | $123.03 | $190.55 |
Hometown Health Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $467.74 | Professional | None | $158.49 | $251.19 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $4,265.80 | Facility | None | $275.42 | $275.42 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $275.42 | Professional | None | $177.83 | $229.09 | $275.42 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $134.90 | Facility | None | $107.15 | $107.15 | $134.90 |
United Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $275.42 | Professional | None | $97.72 | $144.54 | $275.42 |
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 $43.65 Median $43.65 Typical High $112.20 | Professional | 52 · Reduced service | $43.65 | $43.65 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $45.71 | Professional | 53 · Discontinued | $17.78 | $17.78 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $33.88 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $8.91 Typical High $22.39 | Professional | 56 · Pre-op care only | $8.91 | $8.91 | $22.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | RR · Rental | $123.03 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Where Nevada sits
The same service costs 2.7 times more in Hawaii than in Washington, DC. 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
$145
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.