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 $229.09 Median $229.09 Typical High $588.84 | Facility | None | $229.09 | $229.09 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $588.84 | Professional | None | $229.09 | $229.09 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $741.31 Typical High $1,000.00 | Facility | None | $707.95 | $741.31 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | None | $416.87 | $416.87 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $478.63 | Facility | None | $436.52 | $436.52 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $478.63 | Professional | None | $316.23 | $316.23 | $478.63 |
Hometown Health Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $1,202.26 | Professional | None | $407.38 | $645.65 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $4,265.80 | Facility | None | $707.95 | $707.95 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $645.65 Typical High $891.25 | Professional | None | $457.09 | $645.65 | $891.25 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $346.74 | Facility | None | $257.04 | $257.04 | $346.74 |
United Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $707.95 | Professional | None | $331.13 | $501.19 | $707.95 |
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 $112.20 Median $112.20 Typical High $288.40 | Professional | 52 · Reduced service | $112.20 | $112.20 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $117.49 | Professional | 53 · Discontinued | $45.71 | $45.71 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $87.10 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $58.88 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $58.88 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $316.23 | $316.23 | $316.23 |
Where Nevada sits
The same service costs 2.8 times more in Montana than in Florida. 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· 25th of 51
$447
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.