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 $245.47 Median $245.47 Typical High $281.84 | Facility | None | $245.47 | $245.47 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | None | $245.47 | $245.47 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $758.58 Typical High $1,023.29 | Facility | None | $724.44 | $758.58 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $363.08 | Facility | None | $338.84 | $338.84 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $467.74 | Professional | None | $245.47 | $245.47 | $467.74 |
Hometown Health Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $1,230.27 | Professional | None | $416.87 | $660.69 | $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 $467.74 Median $602.56 Typical High $724.44 | Professional | None | $467.74 | $602.56 | $724.44 |
United Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $407.38 | Facility | None | $354.81 | $354.81 | $407.38 |
United Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $724.44 | Professional | None | $251.19 | $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 $123.03 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 55 · Aftercare only | $36.31 | $36.31 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | 56 · Pre-op care only | $24.55 | $24.55 | $28.18 |
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 4.2 times more in Hawaii 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· 22nd of 51
$363
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.