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 $186.21 Median $186.21 Typical High $478.63 | Facility | None | $186.21 | $186.21 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $478.63 | Professional | None | $186.21 | $186.21 | $478.63 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $616.60 Typical High $831.76 | Facility | None | $588.84 | $616.60 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $537.03 | Facility | None | $501.19 | $501.19 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $363.08 Typical High $537.03 | Professional | None | $323.59 | $363.08 | $537.03 |
Hometown Health Setting Professional Modifier None Typical Low $338.84 Median $537.03 Typical High $1,000.00 | Professional | None | $338.84 | $537.03 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $4,265.80 | Facility | None | $588.84 | $588.84 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $741.31 | Professional | None | $380.19 | $537.03 | $741.31 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $288.40 | Facility | None | $229.09 | $229.09 | $288.40 |
United Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $588.84 | Professional | None | $275.42 | $416.87 | $588.84 |
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 $93.33 Median $93.33 Typical High $239.88 | Professional | 52 · Reduced service | $93.33 | $93.33 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $95.50 | Professional | 53 · Discontinued | $38.02 | $38.02 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $28.18 Typical High $72.44 | Professional | 55 · Aftercare only | $28.18 | $28.18 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $18.62 Typical High $47.86 | Professional | 56 · Pre-op care only | $18.62 | $18.62 | $47.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | RR · Rental | $354.81 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | UE · Used equipment | $263.03 | $263.03 | $263.03 |
Where Nevada sits
The same service costs 2.3 times more in Wisconsin 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· 25th of 51
$417
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.