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 $275.42 Median $275.42 Typical High $707.95 | Facility | None | $275.42 | $275.42 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $707.95 | Professional | None | $275.42 | $275.42 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $891.25 Typical High $1,202.26 | Facility | None | $870.96 | $891.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Facility | None | $416.87 | $416.87 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $489.78 | Professional | None | $302.00 | $302.00 | $489.78 |
Hometown Health Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,479.11 | Professional | None | $489.78 | $776.25 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $4,265.80 | Facility | None | $870.96 | $870.96 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $549.54 Median $758.58 Typical High $870.96 | Professional | None | $549.54 | $758.58 | $870.96 |
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 $302.00 Median $457.09 Typical High $870.96 | Professional | None | $302.00 | $457.09 | $870.96 |
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 $138.04 Median $138.04 Typical High $354.81 | Professional | 52 · Reduced service | $138.04 | $138.04 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $141.25 | Professional | 53 · Discontinued | $54.95 | $54.95 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $41.69 Typical High $107.15 | Professional | 55 · Aftercare only | $41.69 | $41.69 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $27.54 Typical High $70.79 | Professional | 56 · Pre-op care only | $27.54 | $27.54 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | RR · Rental | $389.05 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Where Nevada sits
The same service costs 3.9 times more in Hawaii than in Delaware. 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
$457
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.