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 $263.03 Median $263.03 Typical High $676.08 | Facility | None | $263.03 | $263.03 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $676.08 | Professional | None | $263.03 | $263.03 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $707.95 | Facility | None | $660.69 | $660.69 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $1,000.00 | Professional | None | $562.34 | $562.34 | $1,000.00 |
Hometown Health Setting Professional Modifier None Typical Low $478.63 Median $758.58 Typical High $1,412.54 | Professional | None | $478.63 | $758.58 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $4,265.80 | Facility | None | $831.76 | $831.76 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,023.29 | Professional | None | $537.03 | $758.58 | $1,023.29 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $831.76 | Professional | None | $354.81 | $537.03 | $831.76 |
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 $131.83 Median $131.83 Typical High $338.84 | Professional | 52 · Reduced service | $131.83 | $131.83 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $134.90 | Professional | 53 · Discontinued | $52.48 | $52.48 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $39.81 Typical High $102.33 | Professional | 55 · Aftercare only | $39.81 | $39.81 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $26.30 Typical High $67.61 | Professional | 56 · Pre-op care only | $26.30 | $26.30 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | RR · Rental | $457.09 | $457.09 | $457.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | UE · Used equipment | $338.84 | $338.84 | $338.84 |
Where Nevada sits
The same service costs 2.5 times more in Montana than in Washington, DC. 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
$562
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.