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 $131.83 Median $131.83 Typical High $151.36 | Facility | None | $131.83 | $131.83 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $151.36 | Professional | None | $131.83 | $131.83 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $407.38 Typical High $549.54 | Facility | None | $389.05 | $407.38 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $239.88 | Facility | None | $223.87 | $223.87 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $251.19 | Professional | None | $158.49 | $165.96 | $251.19 |
Hometown Health Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $660.69 | Professional | None | $223.87 | $354.81 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $4,265.80 | Facility | None | $389.05 | $389.05 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $389.05 | Professional | None | $251.19 | $346.74 | $389.05 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $208.93 | Facility | None | $190.55 | $190.55 | $208.93 |
United Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $389.05 | Professional | None | $134.90 | $204.17 | $389.05 |
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 $66.07 Median $66.07 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | 53 · Discontinued | $26.30 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $13.18 Typical High $15.14 | Professional | 56 · Pre-op care only | $13.18 | $13.18 | $15.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | RR · Rental | $173.78 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | UE · Used equipment | $131.83 | $131.83 | $131.83 |
Where Nevada sits
The same service costs 3.4 times more in Hawaii than in Washington, DC. 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· 22nd of 51
$204
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.