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 $467.74 Median $467.74 Typical High $1,202.26 | Facility | None | $467.74 | $467.74 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $1,202.26 | Professional | None | $467.74 | $467.74 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $2,041.74 | Facility | None | $1,479.11 | $1,513.56 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $891.25 Typical High $891.25 | Professional | None | $870.96 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,479.11 | Facility | None | $1,202.26 | $1,202.26 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $870.96 Typical High $1,445.44 | Professional | None | $794.33 | $870.96 | $1,445.44 |
Hometown Health Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,454.71 | Professional | None | $831.76 | $1,318.26 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $4,265.80 | Facility | None | $1,479.11 | $1,479.11 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $933.25 Median $1,318.26 Typical High $1,819.70 | Professional | None | $933.25 | $1,318.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $724.44 | Facility | None | $457.09 | $457.09 | $724.44 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,479.11 | Professional | None | $691.83 | $1,023.29 | $1,479.11 |
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 $234.42 Median $234.42 Typical High $602.56 | Professional | 52 · Reduced service | $234.42 | $234.42 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $239.88 | Professional | 53 · Discontinued | $93.33 | $93.33 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $177.83 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $120.23 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $120.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $870.96 Median $891.25 Typical High $891.25 | Professional | RR · Rental | $870.96 | $891.25 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $660.69 | $660.69 | $660.69 |
Where Nevada sits
The same service costs 2.6 times more in Montana 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· 29th of 51
$1,023
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.