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 $109.65 Median $109.65 Typical High $281.84 | Facility | None | $109.65 | $109.65 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $281.84 | Professional | None | $109.65 | $109.65 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $346.74 Median $354.81 Typical High $478.63 | Facility | None | $346.74 | $354.81 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $263.03 | Facility | None | $245.47 | $245.47 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $269.15 | Professional | None | $177.83 | $177.83 | $269.15 |
Hometown Health Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $575.44 | Professional | None | $194.98 | $309.03 | $575.44 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $4,265.80 | Facility | None | $346.74 | $346.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $426.58 | Professional | None | $218.78 | $309.03 | $426.58 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $173.78 | Facility | None | $169.82 | $169.82 | $173.78 |
United Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $346.74 | Professional | None | $158.49 | $239.88 | $346.74 |
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 $54.95 Median $54.95 Typical High $141.25 | Professional | 52 · Reduced service | $54.95 | $54.95 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $56.23 | Professional | 53 · Discontinued | $21.88 | $21.88 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $16.22 Typical High $41.69 | Professional | 55 · Aftercare only | $16.22 | $16.22 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $10.96 Typical High $28.18 | Professional | 56 · Pre-op care only | $10.96 | $10.96 | $28.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | RR · Rental | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | UE · Used equipment | $154.88 | $154.88 | $154.88 |
Where Nevada sits
The same service costs 2.3 times more in Wisconsin than in Colorado. 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· 26th of 51
$240
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.