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 $218.78 Median $218.78 Typical High $562.34 | Facility | None | $218.78 | $218.78 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $562.34 | Professional | None | $218.78 | $218.78 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $707.95 Typical High $977.24 | Facility | None | $691.83 | $707.95 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Facility | None | $426.58 | $426.58 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $478.63 | Professional | None | $309.03 | $309.03 | $478.63 |
Hometown Health Setting Professional Modifier None Typical Low $398.11 Median $616.60 Typical High $1,174.90 | Professional | None | $398.11 | $616.60 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $4,265.80 | Facility | None | $691.83 | $691.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $691.83 | Professional | None | $436.52 | $616.60 | $691.83 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $380.19 | Facility | None | $338.84 | $338.84 | $380.19 |
United Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $691.83 | Professional | None | $288.40 | $436.52 | $691.83 |
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 $109.65 Median $109.65 Typical High $281.84 | Professional | 52 · Reduced service | $109.65 | $109.65 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $112.20 | Professional | 53 · Discontinued | $43.65 | $43.65 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $56.23 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $56.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $371.54 | $371.54 | $371.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | UE · Used equipment | $275.42 | $275.42 | $275.42 |
Where Nevada sits
The same service costs 2.7 times more in Hawaii 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· 22nd of 51
$437
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.