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 $223.87 Median $223.87 Typical High $575.44 | Facility | None | $223.87 | $223.87 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $575.44 | Professional | None | $223.87 | $223.87 | $575.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $724.44 Typical High $977.24 | Facility | None | $707.95 | $724.44 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $407.38 | Facility | None | $363.08 | $363.08 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $457.09 | Professional | None | $257.04 | $263.03 | $457.09 |
Hometown Health Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $1,174.90 | Professional | None | $398.11 | $630.96 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $4,265.80 | Facility | None | $707.95 | $707.95 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $707.95 | Professional | None | $446.68 | $630.96 | $707.95 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Facility | None | $346.74 | $346.74 | $416.87 |
United Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $707.95 | Professional | None | $245.47 | $371.54 | $707.95 |
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 $112.20 Median $112.20 Typical High $288.40 | Professional | 52 · Reduced service | $112.20 | $112.20 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $114.82 | Professional | 53 · Discontinued | $44.67 | $44.67 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $85.11 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $22.39 Typical High $57.54 | Professional | 56 · Pre-op care only | $22.39 | $22.39 | $57.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $316.23 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Where Nevada sits
The same service costs 3.7 times more in Hawaii 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
$372
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.