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 $223.87 Median $223.87 Typical High $263.03 | Facility | None | $223.87 | $223.87 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | None | $223.87 | $223.87 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $691.83 Typical High $954.99 | Facility | None | $676.08 | $691.83 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | None | $398.11 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $512.86 | Facility | None | $416.87 | $416.87 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $416.87 | Professional | None | $302.00 | $309.03 | $416.87 |
Hometown Health Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $1,148.15 | Professional | None | $389.05 | $602.56 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $4,265.80 | Facility | None | $676.08 | $676.08 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $691.83 | Professional | None | $426.58 | $602.56 | $691.83 |
United Setting Professional Modifier None Typical Low $281.84 Median $436.52 Typical High $676.08 | Professional | None | $281.84 | $436.52 | $676.08 |
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 $112.20 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $52.48 | Professional | 53 · Discontinued | $45.71 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $38.90 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $26.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | RR · Rental | $371.54 | $407.38 | $407.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Where Nevada sits
The same service costs 2.2 times more in Montana than in Delaware. 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· 25th of 51
$417
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.