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 $162.18 Median $162.18 Typical High $416.87 | Facility | None | $162.18 | $162.18 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $416.87 | Professional | None | $162.18 | $162.18 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $512.86 Median $524.81 Typical High $707.95 | Facility | None | $512.86 | $524.81 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $371.54 | Facility | None | $346.74 | $346.74 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $398.11 | Professional | None | $251.19 | $251.19 | $398.11 |
Hometown Health Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $870.96 | Professional | None | $295.12 | $457.09 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $4,265.80 | Facility | None | $512.86 | $512.86 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $630.96 | Professional | None | $323.59 | $457.09 | $630.96 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $251.19 | Facility | None | $173.78 | $173.78 | $251.19 |
United Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $512.86 | Professional | None | $239.88 | $354.81 | $512.86 |
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 $81.28 Median $81.28 Typical High $208.93 | Professional | 52 · Reduced service | $81.28 | $81.28 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $83.18 | Professional | 53 · Discontinued | $32.36 | $32.36 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $24.55 Typical High $63.10 | Professional | 55 · Aftercare only | $24.55 | $24.55 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.22 Median $16.22 Typical High $41.69 | Professional | 56 · Pre-op care only | $16.22 | $16.22 | $41.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | RR · Rental | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
Where Nevada sits
The same service costs 2.9 times more in Iowa than in Kansas. 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· 24th of 51
$347
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.