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 $213.80 Median $213.80 Typical High $549.54 | Facility | None | $213.80 | $213.80 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | None | $213.80 | $213.80 | $549.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $691.83 Typical High $954.99 | Facility | None | $676.08 | $691.83 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $331.13 | Professional | None | $323.59 | $323.59 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Facility | None | $398.11 | $398.11 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $436.52 | Professional | None | $288.40 | $288.40 | $436.52 |
Hometown Health Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $1,148.15 | Professional | None | $389.05 | $602.56 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $4,265.80 | Facility | None | $676.08 | $676.08 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $676.08 | Professional | None | $426.58 | $602.56 | $676.08 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Facility | None | $281.84 | $281.84 | $331.13 |
United Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $676.08 | Professional | None | $257.04 | $389.05 | $676.08 |
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 $107.15 Median $107.15 Typical High $275.42 | Professional | 52 · Reduced service | $107.15 | $107.15 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $109.65 | Professional | 53 · Discontinued | $42.66 | $42.66 | $109.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $83.18 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $21.38 Typical High $54.95 | Professional | 56 · Pre-op care only | $21.38 | $21.38 | $54.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | RR · Rental | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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
$389
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.