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 $218.78 Median $218.78 Typical High $251.19 | Facility | None | $218.78 | $218.78 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $251.19 | Professional | None | $218.78 | $218.78 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $660.69 Typical High $912.01 | Facility | None | $645.65 | $660.69 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $331.13 | Facility | None | $295.12 | $295.12 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $416.87 | Professional | None | $218.78 | $218.78 | $416.87 |
Hometown Health Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $1,096.48 | Professional | None | $371.54 | $588.84 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $4,265.80 | Facility | None | $645.65 | $645.65 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $645.65 | Professional | None | $416.87 | $588.84 | $645.65 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
United Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $645.65 | Professional | None | $223.87 | $338.84 | $645.65 |
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 $109.65 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $109.65 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $43.65 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $37.15 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $25.12 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $25.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $288.40 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
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· 20th of 51
$339
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.