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 $346.74 Median $346.74 Typical High $891.25 | Facility | None | $346.74 | $346.74 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $891.25 | Professional | None | $346.74 | $346.74 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,513.56 | Facility | None | $1,071.52 | $1,122.02 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $537.03 | Professional | None | $524.81 | $524.81 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $645.65 | Facility | None | $588.84 | $588.84 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $707.95 | Professional | None | $426.58 | $426.58 | $707.95 |
Hometown Health Setting Professional Modifier None Typical Low $616.60 Median $977.24 Typical High $1,819.70 | Professional | None | $616.60 | $977.24 | $1,819.70 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $4,265.80 | Facility | None | $1,071.52 | $1,071.52 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,071.52 | Professional | None | $691.83 | $912.01 | $1,071.52 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $524.81 | Facility | None | $501.19 | $501.19 | $524.81 |
United Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $1,071.52 | Professional | None | $407.38 | $616.60 | $1,071.52 |
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 $173.78 Median $173.78 Typical High $436.52 | Professional | 52 · Reduced service | $173.78 | $173.78 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $177.83 | Professional | 53 · Discontinued | $69.18 | $69.18 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $131.83 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $89.13 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $89.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | RR · Rental | $524.81 | $524.81 | $524.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $389.05 | $389.05 | $389.05 |
Where Nevada sits
The same service costs 2.8 times more in Hawaii than in West Virginia. 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· 24th of 51
$617
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.