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 $239.88 Median $239.88 Typical High $275.42 | Facility | None | $239.88 | $239.88 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | None | $239.88 | $239.88 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $741.31 Typical High $1,000.00 | Facility | None | $724.44 | $741.31 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | None | $323.59 | $323.59 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $363.08 | Facility | None | $331.13 | $331.13 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $467.74 | Professional | None | $239.88 | $239.88 | $467.74 |
Hometown Health Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $1,230.27 | Professional | None | $407.38 | $645.65 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $4,265.80 | Facility | None | $724.44 | $724.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $575.44 Typical High $724.44 | Professional | None | $457.09 | $575.44 | $724.44 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $363.08 | Facility | None | $354.81 | $354.81 | $363.08 |
United Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $724.44 | Professional | None | $245.47 | $380.19 | $724.44 |
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 $120.23 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $47.86 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | RR · Rental | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Nevada sits
The same service costs 4.1 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· 21st of 51
$355
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.