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 $549.54 Median $549.54 Typical High $1,412.54 | Facility | None | $549.54 | $549.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,412.54 | Professional | None | $549.54 | $549.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $2,398.83 | Facility | None | $1,737.80 | $1,778.28 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,380.38 | Facility | None | $1,230.27 | $1,230.27 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,230.27 | Professional | None | $741.31 | $891.25 | $1,230.27 |
Hometown Health Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,884.03 | Professional | None | $977.24 | $1,548.82 | $2,884.03 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $4,265.80 | Facility | None | $1,737.80 | $1,737.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $1,737.80 | Professional | None | $1,096.48 | $1,548.82 | $1,737.80 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,071.52 Typical High $1,737.80 | Professional | None | $707.95 | $1,071.52 | $1,737.80 |
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 $275.42 Median $275.42 Typical High $707.95 | Professional | 52 · Reduced service | $275.42 | $275.42 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $281.84 | Professional | 53 · Discontinued | $109.65 | $109.65 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $208.93 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $141.25 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | RR · Rental | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $676.08 | $676.08 | $676.08 |
Where Nevada sits
The same service costs 2.1 times more in Wisconsin 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· 26th of 51
$1,072
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.