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 $56.23 Median $56.23 Typical High $64.57 | Facility | None | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None | $56.23 | $56.23 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $100.00 Typical High $138.04 | Facility | None | $97.72 | $100.00 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $229.09 | Facility | None | $213.80 | $213.80 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $4,265.80 | Facility | None | $97.72 | $97.72 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $281.84 | Professional | None | $66.07 | $89.13 | $281.84 |
United Setting Professional Modifier None Typical Low $74.13 Median $154.88 Typical High $257.04 | Professional | None | $74.13 | $154.88 | $257.04 |
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 $28.18 Median $28.18 Typical High $40.74 | Professional | 52 · Reduced service | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $16.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.32 Typical High $12.30 | Professional | 55 · Aftercare only | $8.32 | $8.32 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $8.13 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $8.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $194.98 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | UE · Used equipment | $144.54 | $144.54 | $144.54 |
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· 47th of 51
$155
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.