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 $147.91 Median $147.91 Typical High $380.19 | Facility | None | $147.91 | $147.91 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $380.19 | Professional | None | $147.91 | $147.91 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $645.65 | Facility | None | $467.74 | $478.63 | $645.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $302.00 | Facility | None | $275.42 | $275.42 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | None | $199.53 | $199.53 | $346.74 |
Hometown Health Setting Professional Modifier None Typical Low $263.03 Median $416.87 Typical High $776.25 | Professional | None | $263.03 | $416.87 | $776.25 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $4,265.80 | Facility | None | $467.74 | $467.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $512.86 | Professional | None | $295.12 | $416.87 | $512.86 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $229.09 | Facility | None | $190.55 | $190.55 | $229.09 |
United Setting Professional Modifier None Typical Low $208.93 Median $309.03 Typical High $467.74 | Professional | None | $208.93 | $309.03 | $467.74 |
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 $74.13 Median $74.13 Typical High $190.55 | Professional | 52 · Reduced service | $74.13 | $74.13 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $75.86 | Professional | 53 · Discontinued | $29.51 | $29.51 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $21.88 Typical High $56.23 | Professional | 55 · Aftercare only | $21.88 | $21.88 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $38.02 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | RR · Rental | $263.03 | $263.03 | $263.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | UE · Used equipment | $199.53 | $199.53 | $199.53 |
Where Nevada sits
The same service costs 2.5 times more in Hawaii than in Florida. 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
$302
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.