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 $123.03 Median $123.03 Typical High $316.23 | Facility | None | $123.03 | $123.03 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $316.23 | Professional | None | $123.03 | $123.03 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $398.11 Typical High $549.54 | Facility | None | $389.05 | $398.11 | $549.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $229.09 | Professional | None | $218.78 | $218.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $251.19 | Facility | None | $229.09 | $229.09 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | None | $165.96 | $165.96 | $288.40 |
Hometown Health Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $660.69 | Professional | None | $223.87 | $354.81 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $4,265.80 | Facility | None | $389.05 | $389.05 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $457.09 | Professional | None | $251.19 | $354.81 | $457.09 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $190.55 | Facility | None | $151.36 | $151.36 | $190.55 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $389.05 | Professional | None | $173.78 | $263.03 | $389.05 |
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 $61.66 Median $61.66 Typical High $158.49 | Professional | 52 · Reduced service | $61.66 | $61.66 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $63.10 | Professional | 53 · Discontinued | $24.55 | $24.55 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $47.86 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $31.62 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $31.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | RR · Rental | $218.78 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | UE · Used equipment | $165.96 | $165.96 | $165.96 |
Where Nevada sits
The same service costs 2.7 times more in Montana 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· 23rd of 51
$251
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.