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 $199.53 Median $199.53 Typical High $229.09 | Facility | None | $199.53 | $199.53 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $295.12 | Professional | None | $199.53 | $199.53 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $354.81 Median $363.08 Typical High $489.78 | Facility | None | $354.81 | $363.08 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $831.76 | Facility | None | $758.58 | $758.58 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Hometown Health Setting Professional Modifier None Typical Low $263.03 Median $354.81 Typical High $707.95 | Professional | None | $263.03 | $354.81 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $4,265.80 | Facility | None | $354.81 | $354.81 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $1,023.29 | Professional | None | $239.88 | $316.23 | $1,023.29 |
United Setting Professional Modifier None Typical Low $263.03 Median $549.54 Typical High $912.01 | Professional | None | $263.03 | $549.54 | $912.01 |
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 $100.00 Median $100.00 Typical High $147.91 | Professional | 52 · Reduced service | $100.00 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $58.88 | Professional | 53 · Discontinued | $39.81 | $39.81 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $30.20 Typical High $43.65 | Professional | 55 · Aftercare only | $30.20 | $30.20 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $29.51 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $29.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | RR · Rental | $707.95 | $707.95 | $707.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 45th of 51
$550
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.