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 $371.54 Median $371.54 Typical High $426.58 | Facility | None | $371.54 | $371.54 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $426.58 | Professional | None | $371.54 | $371.54 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $1,548.82 | Facility | None | $1,096.48 | $1,122.02 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | None | $660.69 | $660.69 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $676.08 | Facility | None | $616.60 | $616.60 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $4,265.80 | Facility | None | $1,096.48 | $1,096.48 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,148.15 | Professional | None | $707.95 | $1,000.00 | $1,148.15 |
United Setting Professional Modifier None Typical Low $467.74 Median $776.25 Typical High $1,202.26 | Professional | None | $467.74 | $776.25 | $1,202.26 |
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 $181.97 Median $181.97 Typical High $213.80 | Professional | 52 · Reduced service | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | 53 · Discontinued | $74.13 | $74.13 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $42.66 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $42.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $660.69 | $660.69 | $660.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Where Nevada sits
The same service costs 2.6 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· 45th of 51
$562
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.