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 $281.84 Median $281.84 Typical High $323.59 | Facility | None | $281.84 | $281.84 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $281.84 Typical High $407.38 | Professional | None | $229.09 | $281.84 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $851.14 Typical High $1,174.90 | Facility | None | $831.76 | $851.14 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $338.84 Typical High $398.11 | Professional | None | $331.13 | $338.84 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $512.86 | Facility | None | $457.09 | $457.09 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $537.03 | Professional | None | $338.84 | $338.84 | $537.03 |
Hometown Health Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $1,412.54 | Professional | None | $478.63 | $758.58 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $4,265.80 | Facility | None | $831.76 | $831.76 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $691.83 Typical High $831.76 | Professional | None | $537.03 | $691.83 | $831.76 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $316.23 Median $489.78 Typical High $831.76 | Professional | None | $316.23 | $489.78 | $831.76 |
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 $141.25 Median $141.25 Typical High $162.18 | Professional | 52 · Reduced service | $141.25 | $141.25 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 53 · Discontinued | $56.23 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 56 · Pre-op care only | $28.18 | $28.18 | $32.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | UE · Used equipment | $245.47 | $245.47 | $245.47 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 31st of 51
$437
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.