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 $28.84 Median $28.84 Typical High $74.13 | Facility | None | $28.84 | $28.84 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $74.13 | Professional | None | $28.84 | $28.84 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $125.89 | Facility | None | $91.20 | $93.33 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | None | $54.95 | $54.95 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $56.23 | Facility | None | $50.12 | $50.12 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $50.12 | Professional | None | $37.15 | $37.15 | $50.12 |
Hometown Health Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $151.36 | Professional | None | $51.29 | $81.28 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $4,265.80 | Facility | None | $91.20 | $91.20 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $93.33 | Professional | None | $57.54 | $81.28 | $93.33 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $91.20 | Professional | None | $38.90 | $57.54 | $91.20 |
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 $14.45 Median $14.45 Typical High $37.15 | Professional | 52 · Reduced service | $14.45 | $14.45 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $14.79 | Professional | 53 · Discontinued | $5.75 | $5.75 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $10.96 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $10.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $7.41 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $7.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $48.98 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
Where Nevada sits
The same service costs 2.8 times more in Kansas 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· 35th of 51
$53.70
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.