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 $331.13 Median $331.13 Typical High $380.19 | Facility | None | $331.13 | $331.13 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | None | $331.13 | $331.13 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,380.38 | Facility | None | $977.24 | $1,000.00 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $478.63 | Professional | None | $467.74 | $467.74 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $501.19 | Facility | None | $446.68 | $446.68 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $630.96 | Professional | None | $331.13 | $331.13 | $630.96 |
Hometown Health Setting Professional Modifier None Typical Low $562.34 Median $891.25 Typical High $1,659.59 | Professional | None | $562.34 | $891.25 | $1,659.59 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $4,265.80 | Facility | None | $977.24 | $977.24 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $630.96 Median $870.96 Typical High $977.24 | Professional | None | $630.96 | $870.96 | $977.24 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $630.96 | Facility | None | $478.63 | $478.63 | $630.96 |
United Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $977.24 | Professional | None | $338.84 | $512.86 | $977.24 |
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 $165.96 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $165.96 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $436.52 Median $467.74 Typical High $467.74 | Professional | RR · Rental | $436.52 | $467.74 | $467.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $346.74 | $346.74 | $346.74 |
Where Nevada sits
The same service costs 4.6 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
$479
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.