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 $208.93 Median $208.93 Typical High $537.03 | Facility | None | $208.93 | $208.93 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $537.03 | Professional | None | $208.93 | $208.93 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $660.69 Median $676.08 Typical High $912.01 | Facility | None | $660.69 | $676.08 | $912.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $389.05 | Facility | None | $363.08 | $363.08 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $416.87 | Professional | None | $239.88 | $269.15 | $416.87 |
Hometown Health Setting Professional Modifier None Typical Low $371.54 Median $588.84 Typical High $1,096.48 | Professional | None | $371.54 | $588.84 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $4,265.80 | Facility | None | $660.69 | $660.69 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $660.69 | Professional | None | $416.87 | $562.34 | $660.69 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Facility | None | $239.88 | $239.88 | $323.59 |
United Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $660.69 | Professional | None | $229.09 | $346.74 | $660.69 |
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 $104.71 Median $104.71 Typical High $269.15 | Professional | 52 · Reduced service | $104.71 | $104.71 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $107.15 | Professional | 53 · Discontinued | $41.69 | $41.69 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $30.90 Typical High $79.43 | Professional | 55 · Aftercare only | $30.90 | $30.90 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $20.89 Typical High $53.70 | Professional | 56 · Pre-op care only | $20.89 | $20.89 | $53.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $295.12 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii than in Alabama. 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
$347
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.