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 $141.25 Median $141.25 Typical High $162.18 | Facility | None | $141.25 | $141.25 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | None | $141.25 | $141.25 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $436.52 Typical High $588.84 | Facility | None | $416.87 | $436.52 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | None | $239.88 | $239.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $275.42 | Facility | None | $245.47 | $245.47 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $316.23 | Professional | None | $177.83 | $177.83 | $316.23 |
Hometown Health Setting Professional Modifier None Typical Low $239.88 Median $380.19 Typical High $707.95 | Professional | None | $239.88 | $380.19 | $707.95 |
Select Health Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $4,265.80 | Facility | None | $416.87 | $416.87 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $512.86 | Professional | None | $269.15 | $380.19 | $512.86 |
United Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $204.17 | Facility | None | $147.91 | $147.91 | $204.17 |
United Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $416.87 | Professional | None | $181.97 | $281.84 | $416.87 |
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 $70.79 Median $70.79 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.13 Typical High $16.22 | Professional | 56 · Pre-op care only | $14.13 | $14.13 | $16.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | RR · Rental | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | UE · Used equipment | $181.97 | $181.97 | $181.97 |
Where Nevada sits
The same service costs 2.9 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· 26th of 51
$245
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.