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 $234.42 Median $234.42 Typical High $269.15 | Facility | None | $234.42 | $234.42 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $407.38 | Professional | None | $234.42 | $234.42 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $575.44 | Facility | None | $407.38 | $416.87 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $954.99 | Facility | None | $851.14 | $851.14 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
Hometown Health Setting Professional Modifier None Typical Low $302.00 Median $407.38 Typical High $831.76 | Professional | None | $302.00 | $407.38 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $4,265.80 | Facility | None | $407.38 | $407.38 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $1,174.90 | Professional | None | $275.42 | $363.08 | $1,174.90 |
United Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $1,000.00 | Professional | None | $302.00 | $630.96 | $1,000.00 |
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 $117.49 Median $117.49 Typical High $169.82 | Professional | 52 · Reduced service | $117.49 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | 53 · Discontinued | $46.77 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $51.29 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $33.88 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $33.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $794.33 | $794.33 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
Where Nevada sits
The same service costs 2.8 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· 46th of 51
$617
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.