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 $158.49 Median $158.49 Typical High $407.38 | Facility | None | $158.49 | $158.49 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $407.38 | Professional | None | $158.49 | $158.49 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $512.86 Typical High $691.83 | Facility | None | $501.19 | $512.86 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | None | $295.12 | $295.12 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $338.84 | Facility | None | $309.03 | $309.03 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $389.05 | Professional | None | $223.87 | $223.87 | $389.05 |
Hometown Health Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $851.14 | Professional | None | $281.84 | $446.68 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $4,265.80 | Facility | None | $501.19 | $501.19 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $602.56 | Professional | None | $316.23 | $446.68 | $602.56 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $245.47 | Facility | None | $138.04 | $138.04 | $245.47 |
United Setting Professional Modifier None Typical Low $234.42 Median $346.74 Typical High $501.19 | Professional | None | $234.42 | $346.74 | $501.19 |
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 $79.43 Median $79.43 Typical High $204.17 | Professional | 52 · Reduced service | $79.43 | $79.43 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $81.28 | Professional | 53 · Discontinued | $31.62 | $31.62 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $23.99 Typical High $61.66 | Professional | 55 · Aftercare only | $23.99 | $23.99 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $15.85 Typical High $40.74 | Professional | 56 · Pre-op care only | $15.85 | $15.85 | $40.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $295.12 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
Where Nevada sits
The same service costs 2.7 times more in Montana 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· 24th of 51
$324
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.