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 $257.04 Median $257.04 Typical High $295.12 | Facility | None | $257.04 | $257.04 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $467.74 | Professional | None | $257.04 | $257.04 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $616.60 Typical High $831.76 | Facility | None | $602.56 | $616.60 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $707.95 | Professional | None | $467.74 | $467.74 | $707.95 |
Hometown Health Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $1,023.29 | Professional | None | $416.87 | $602.56 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $4,265.80 | Facility | None | $602.56 | $602.56 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $537.03 Typical High $912.01 | Professional | None | $407.38 | $537.03 | $912.01 |
United Setting Professional Modifier None Typical Low $446.68 Median $501.19 Typical High $812.83 | Professional | None | $446.68 | $501.19 | $812.83 |
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 $128.82 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $128.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $29.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | RR · Rental | $691.83 | $691.83 | $691.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | UE · Used equipment | $512.86 | $512.86 | $512.86 |
Where Nevada sits
The same service costs 2.2 times more in Kansas 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· 49th of 51
$479
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.