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 $158.49 Median $158.49 Typical High $181.97 | Facility | None | $158.49 | $158.49 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | None | $158.49 | $158.49 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $660.69 | Facility | None | $467.74 | $478.63 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | None | $208.93 | $208.93 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $239.88 | Facility | None | $213.80 | $213.80 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | None | $158.49 | $158.49 | $302.00 |
Hometown Health Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $794.33 | Professional | None | $269.15 | $426.58 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $4,265.80 | Facility | None | $467.74 | $467.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $467.74 | Professional | None | $302.00 | $380.19 | $467.74 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $257.04 | Facility | None | $229.09 | $229.09 | $257.04 |
United Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $467.74 | Professional | None | $162.18 | $245.47 | $467.74 |
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 $79.43 Median $79.43 Typical High $91.20 | Professional | 52 · Reduced service | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $36.31 | Professional | 53 · Discontinued | $31.62 | $31.62 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $18.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | RR · Rental | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | UE · Used equipment | $158.49 | $158.49 | $158.49 |
Where Nevada sits
The same service costs 4.4 times more in Hawaii than in Florida. 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· 23rd of 51
$229
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.