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 $295.12 Median $295.12 Typical High $346.74 | Facility | None | $295.12 | $295.12 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $467.74 | Professional | None | $295.12 | $295.12 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $912.01 Typical High $1,230.27 | Facility | None | $891.25 | $912.01 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $549.54 | Professional | None | $537.03 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $660.69 | Facility | None | $549.54 | $549.54 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $660.69 | Professional | None | $398.11 | $398.11 | $660.69 |
Hometown Health Setting Professional Modifier None Typical Low $501.19 Median $794.33 Typical High $1,513.56 | Professional | None | $501.19 | $794.33 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $4,265.80 | Facility | None | $891.25 | $891.25 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $891.25 | Professional | None | $562.34 | $794.33 | $891.25 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Facility | None | $331.13 | $331.13 | $436.52 |
United Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $891.25 | Professional | None | $371.54 | $575.44 | $891.25 |
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 $147.91 Median $147.91 Typical High $169.82 | Professional | 52 · Reduced service | $147.91 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | 53 · Discontinued | $58.88 | $58.88 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $34.67 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $34.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $489.78 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $489.78 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | UE · Used equipment | $407.38 | $407.38 | $407.38 |
Where Nevada sits
The same service costs 2.4 times more in Iowa 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· 36th of 51
$513
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.