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 $269.15 Median $269.15 Typical High $691.83 | Facility | None | $269.15 | $269.15 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $691.83 | Professional | None | $269.15 | $269.15 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,202.26 | Facility | None | $851.14 | $870.96 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $501.19 | Facility | None | $467.74 | $467.74 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $549.54 | Professional | None | $338.84 | $338.84 | $549.54 |
Hometown Health Setting Professional Modifier None Typical Low $489.78 Median $758.58 Typical High $1,445.44 | Professional | None | $489.78 | $758.58 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $4,265.80 | Facility | None | $851.14 | $851.14 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $851.14 | Professional | None | $537.03 | $758.58 | $851.14 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $416.87 | Facility | None | $380.19 | $380.19 | $416.87 |
United Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $851.14 | Professional | None | $295.12 | $446.68 | $851.14 |
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 $134.90 Median $134.90 Typical High $346.74 | Professional | 52 · Reduced service | $134.90 | $134.90 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $138.04 | Professional | 53 · Discontinued | $53.70 | $53.70 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $40.74 Typical High $104.71 | Professional | 55 · Aftercare only | $40.74 | $40.74 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $69.18 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $69.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | RR · Rental | $380.19 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $288.40 | $288.40 | $288.40 |
Where Nevada sits
The same service costs 2.9 times more in Hawaii 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· 21st of 51
$447
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.