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 $186.21 Median $186.21 Typical High $213.80 | Facility | None | $186.21 | $186.21 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $245.47 | Professional | None | $138.04 | $186.21 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $575.44 Typical High $776.25 | Facility | None | $562.34 | $575.44 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $251.19 | Professional | None | $245.47 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $295.12 | Facility | None | $263.03 | $263.03 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $363.08 | Professional | None | $194.98 | $194.98 | $363.08 |
Hometown Health Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $954.99 | Professional | None | $316.23 | $501.19 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $4,265.80 | Facility | None | $562.34 | $562.34 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $562.34 | Professional | None | $354.81 | $446.68 | $562.34 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $275.42 | Facility | None | $213.80 | $213.80 | $275.42 |
United Setting Professional Modifier None Typical Low $190.55 Median $295.12 Typical High $562.34 | Professional | None | $190.55 | $295.12 | $562.34 |
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 $93.33 Median $93.33 Typical High $107.15 | Professional | 52 · Reduced service | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | 53 · Discontinued | $37.15 | $37.15 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $32.36 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $21.38 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $21.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | RR · Rental | $251.19 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | UE · Used equipment | $186.21 | $186.21 | $186.21 |
Where Nevada sits
The same service costs 4.7 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· 31st of 51
$263
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.