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 $134.90 Median $134.90 Typical High $154.88 | Facility | None | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | None | $134.90 | $134.90 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $416.87 Typical High $562.34 | Facility | None | $398.11 | $416.87 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $181.97 | Professional | None | $177.83 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $213.80 | Facility | None | $190.55 | $190.55 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $257.04 | Professional | None | $138.04 | $138.04 | $257.04 |
Hometown Health Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $676.08 | Professional | None | $229.09 | $363.08 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $4,265.80 | Facility | None | $398.11 | $398.11 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $398.11 | Professional | None | $257.04 | $323.59 | $398.11 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $194.98 | Facility | None | $190.55 | $190.55 | $194.98 |
United Setting Professional Modifier None Typical Low $138.04 Median $208.93 Typical High $398.11 | Professional | None | $138.04 | $208.93 | $398.11 |
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 $67.61 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $30.90 | Professional | 53 · Discontinued | $26.92 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $15.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $177.83 Median $181.97 Typical High $181.97 | Professional | RR · Rental | $177.83 | $181.97 | $181.97 |
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 3.5 times more in Hawaii than in Florida. 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
$209
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.