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 $251.19 Median $251.19 Typical High $645.65 | Facility | None | $251.19 | $251.19 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $645.65 | Professional | None | $251.19 | $251.19 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $812.83 Typical High $1,122.02 | Facility | None | $794.33 | $812.83 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | None | $354.81 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Facility | None | $380.19 | $380.19 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $512.86 | Professional | None | $275.42 | $275.42 | $512.86 |
Hometown Health Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $1,348.96 | Professional | None | $457.09 | $724.44 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $4,265.80 | Facility | None | $794.33 | $794.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $794.33 | Professional | None | $512.86 | $707.95 | $794.33 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $389.05 | Facility | None | $346.74 | $346.74 | $389.05 |
United Setting Professional Modifier None Typical Low $275.42 Median $416.87 Typical High $794.33 | Professional | None | $275.42 | $416.87 | $794.33 |
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 $125.89 Median $125.89 Typical High $323.59 | Professional | 52 · Reduced service | $125.89 | $125.89 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $128.82 | Professional | 53 · Discontinued | $50.12 | $50.12 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $97.72 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $64.57 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $354.81 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $354.81 | $363.08 | $363.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | UE · Used equipment | $269.15 | $269.15 | $269.15 |
Where Nevada sits
The same service costs 3.2 times more in Hawaii 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
$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.