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 $257.04 Median $257.04 Typical High $660.69 | Facility | None | $257.04 | $257.04 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $660.69 | Professional | None | $257.04 | $257.04 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $831.76 Typical High $1,122.02 | Facility | None | $812.83 | $831.76 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $446.68 | Facility | None | $398.11 | $398.11 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $524.81 | Professional | None | $295.12 | $295.12 | $524.81 |
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 $812.83 Median $812.83 Typical High $4,265.80 | Facility | None | $812.83 | $812.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $812.83 | Professional | None | $512.86 | $660.69 | $812.83 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $812.83 | Professional | None | $281.84 | $426.58 | $812.83 |
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 $128.82 Median $128.82 Typical High $331.13 | Professional | 52 · Reduced service | $128.82 | $128.82 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $131.83 | Professional | 53 · Discontinued | $51.29 | $51.29 | $131.83 |
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 $25.70 Median $25.70 Typical High $66.07 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $66.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $363.08 | $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 3.7 times more in Hawaii than in Pennsylvania. 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· 22nd of 51
$427
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.