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 $169.82 Median $169.82 Typical High $436.52 | Facility | None | $169.82 | $169.82 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $436.52 | Professional | None | $169.82 | $169.82 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $537.03 Median $549.54 Typical High $758.58 | Facility | None | $537.03 | $549.54 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | None | $323.59 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $363.08 | Facility | None | $331.13 | $331.13 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $416.87 | Professional | None | $239.88 | $239.88 | $416.87 |
Hometown Health Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $912.01 | Professional | None | $309.03 | $478.63 | $912.01 |
Select Health Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $4,265.80 | Facility | None | $537.03 | $537.03 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $478.63 Typical High $537.03 | Professional | None | $346.74 | $478.63 | $537.03 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $263.03 | Facility | None | $218.78 | $218.78 | $263.03 |
United Setting Professional Modifier None Typical Low $251.19 Median $380.19 Typical High $537.03 | Professional | None | $251.19 | $380.19 | $537.03 |
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 $85.11 Median $85.11 Typical High $218.78 | Professional | 52 · Reduced service | $85.11 | $85.11 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $87.10 | Professional | 53 · Discontinued | $33.88 | $33.88 | $87.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $25.70 Typical High $66.07 | Professional | 55 · Aftercare only | $25.70 | $25.70 | $66.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $43.65 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $43.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $323.59 Median $331.13 Typical High $331.13 | Professional | RR · Rental | $323.59 | $331.13 | $331.13 |
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 2.4 times more in Arkansas 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· 27th of 51
$347
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.