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 $331.13 Median $331.13 Typical High $851.14 | Facility | None | $331.13 | $331.13 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $851.14 | Professional | None | $331.13 | $331.13 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,445.44 | Facility | None | $1,023.29 | $1,071.52 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Professional | None | $457.09 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $741.31 | Facility | None | $660.69 | $660.69 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $741.31 | Professional | None | $416.87 | $489.78 | $741.31 |
Hometown Health Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,737.80 | Professional | None | $588.84 | $933.25 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $4,265.80 | Facility | None | $1,023.29 | $1,023.29 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,023.29 | Professional | None | $660.69 | $933.25 | $1,023.29 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Facility | None | $501.19 | $501.19 | $549.54 |
United Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,023.29 | Professional | None | $363.08 | $549.54 | $1,023.29 |
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 $165.96 Median $165.96 Typical High $426.58 | Professional | 52 · Reduced service | $165.96 | $165.96 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $169.82 | Professional | 53 · Discontinued | $66.07 | $66.07 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $48.98 Typical High $125.89 | Professional | 55 · Aftercare only | $48.98 | $48.98 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $467.74 Median $478.63 Typical High $478.63 | Professional | RR · Rental | $467.74 | $478.63 | $478.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $346.74 | $346.74 | $346.74 |
Where Nevada sits
The same service costs 4.1 times more in Hawaii than in Kansas. 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
$550
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.