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 $186.21 Median $186.21 Typical High $218.78 | Facility | None | $186.21 | $186.21 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | None | $186.21 | $186.21 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $575.44 Typical High $794.33 | Facility | None | $562.34 | $575.44 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $295.12 | Professional | None | $229.09 | $234.42 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Hometown Health Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $954.99 | Professional | None | $323.59 | $501.19 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $4,265.80 | Facility | None | $562.34 | $562.34 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $588.84 | Professional | None | $354.81 | $501.19 | $588.84 |
United Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $562.34 | Professional | None | $234.42 | $363.08 | $562.34 |
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 $93.33 Median $93.33 Typical High $109.65 | Professional | 52 · Reduced service | $93.33 | $93.33 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | 53 · Discontinued | $38.02 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $21.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | RR · Rental | $234.42 | $234.42 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | UE · Used equipment | $199.53 | $199.53 | $199.53 |
Where Nevada sits
The same service costs 2.6 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· 33rd of 51
$302
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.