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 $151.36 Median $151.36 Typical High $389.05 | Facility | None | $151.36 | $151.36 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $389.05 | Professional | None | $151.36 | $151.36 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $489.78 Typical High $660.69 | Facility | None | $478.63 | $489.78 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $269.15 | Facility | None | $245.47 | $245.47 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $309.03 | Professional | None | $177.83 | $177.83 | $309.03 |
Hometown Health Setting Professional Modifier None Typical Low $269.15 Median $426.58 Typical High $812.83 | Professional | None | $269.15 | $426.58 | $812.83 |
Select Health Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $4,265.80 | Facility | None | $478.63 | $478.63 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $478.63 | Professional | None | $302.00 | $426.58 | $478.63 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $281.84 | Facility | None | $234.42 | $234.42 | $281.84 |
United Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $478.63 | Professional | None | $165.96 | $251.19 | $478.63 |
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 $75.86 Median $75.86 Typical High $194.98 | Professional | 52 · Reduced service | $75.86 | $75.86 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $77.62 | Professional | 53 · Discontinued | $30.20 | $30.20 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $22.91 Typical High $58.88 | Professional | 55 · Aftercare only | $22.91 | $22.91 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $38.90 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | RR · Rental | $213.80 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | UE · Used equipment | $162.18 | $162.18 | $162.18 |
Where Nevada sits
The same service costs 3.6 times more in Hawaii than in Tennessee. 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· 22nd 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.