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 $95.50 Median $95.50 Typical High $239.88 | Facility | None | $95.50 | $95.50 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $239.88 | Professional | None | $95.50 | $95.50 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $295.12 Median $309.03 Typical High $416.87 | Facility | None | $295.12 | $309.03 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Facility | None | $169.82 | $169.82 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | None | $125.89 | $125.89 | $213.80 |
Hometown Health Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $501.19 | Professional | None | $169.82 | $269.15 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $4,265.80 | Facility | None | $295.12 | $295.12 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $323.59 | Professional | None | $190.55 | $269.15 | $323.59 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $295.12 | Professional | None | $128.82 | $194.98 | $295.12 |
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 $46.77 Median $46.77 Typical High $120.23 | Professional | 52 · Reduced service | $46.77 | $46.77 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $48.98 | Professional | 53 · Discontinued | $19.05 | $19.05 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.13 Typical High $36.31 | Professional | 55 · Aftercare only | $14.13 | $14.13 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $23.99 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $23.99 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | RR · Rental | $165.96 | $165.96 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | UE · Used equipment | $125.89 | $125.89 | $125.89 |
Where Nevada sits
The same service costs 2.4 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· 22nd of 51
$195
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.