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 $302.00 Median $302.00 Typical High $776.25 | Facility | None | $302.00 | $302.00 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $776.25 | Professional | None | $302.00 | $302.00 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $977.24 Typical High $1,318.26 | Facility | None | $933.25 | $977.24 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Facility | None | $501.19 | $501.19 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $616.60 | Professional | None | $363.08 | $363.08 | $616.60 |
Hometown Health Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,584.89 | Professional | None | $537.03 | $851.14 | $1,584.89 |
Select Health Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $4,265.80 | Facility | None | $933.25 | $933.25 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $933.25 | Professional | None | $602.56 | $851.14 | $933.25 |
United Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $467.74 | Facility | None | $426.58 | $426.58 | $467.74 |
United Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $933.25 | Professional | None | $331.13 | $501.19 | $933.25 |
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 $151.36 Median $151.36 Typical High $389.05 | Professional | 52 · Reduced service | $151.36 | $151.36 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $154.88 | Professional | 53 · Discontinued | $60.26 | $60.26 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $114.82 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $77.62 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | RR · Rental | $416.87 | $416.87 | $416.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | UE · Used equipment | $309.03 | $309.03 | $309.03 |
Where Nevada sits
The same service costs 3.0 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· 21st of 51
$501
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.