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 $257.04 Median $257.04 Typical High $295.12 | Facility | None | $257.04 | $257.04 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $295.12 | Professional | None | $257.04 | $257.04 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $776.25 Typical High $1,071.52 | Facility | None | $758.58 | $776.25 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $489.78 | Professional | None | $275.42 | $275.42 | $489.78 |
Hometown Health Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $1,288.25 | Professional | None | $436.52 | $691.83 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $4,265.80 | Facility | None | $758.58 | $758.58 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $758.58 | Professional | None | $489.78 | $660.69 | $758.58 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $371.54 | Facility | None | $269.15 | $269.15 | $371.54 |
United Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $758.58 | Professional | None | $257.04 | $398.11 | $758.58 |
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 $125.89 Median $125.89 Typical High $147.91 | Professional | 52 · Reduced service | $125.89 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $51.29 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $43.65 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $29.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $257.04 | $257.04 | $257.04 |
Where Nevada sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 26th of 51
$372
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.