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 $34.67 Median $34.67 Typical High $89.13 | Facility | None | $34.67 | $34.67 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $89.13 | Professional | None | $34.67 | $34.67 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $112.20 Typical High $151.36 | Facility | None | $109.65 | $112.20 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | None | $52.48 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $57.54 | Facility | None | $51.29 | $51.29 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | None | $38.02 | $38.02 | $70.79 |
Hometown Health Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $181.97 | Professional | None | $61.66 | $97.72 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $4,265.80 | Facility | None | $109.65 | $109.65 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $109.65 | Professional | None | $69.18 | $97.72 | $109.65 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $64.57 | Facility | None | $53.70 | $53.70 | $64.57 |
United Setting Professional Modifier None Typical Low $38.02 Median $57.54 Typical High $109.65 | Professional | None | $38.02 | $57.54 | $109.65 |
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 $17.38 Median $17.38 Typical High $44.67 | Professional | 52 · Reduced service | $17.38 | $17.38 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $17.78 | Professional | 53 · Discontinued | $6.92 | $6.92 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $13.18 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $3.47 Typical High $8.91 | Professional | 56 · Pre-op care only | $3.47 | $3.47 | $8.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $48.98 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $38.90 | $38.90 | $38.90 |
Where Nevada sits
The same service costs 4.9 times more in Hawaii 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· 25th of 51
$57.54
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.