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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $645.65 | Professional | None | $562.34 | $562.34 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $2,344.23 | Facility | None | $1,698.24 | $1,737.80 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Facility | None | $933.25 | $933.25 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Hometown Health Setting Professional Modifier None Typical Low $954.99 Median $1,513.56 Typical High $2,818.38 | Professional | None | $954.99 | $1,513.56 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $4,265.80 | Facility | None | $1,698.24 | $1,698.24 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $1,737.80 | Professional | None | $1,071.52 | $1,513.56 | $1,737.80 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,698.24 | Professional | None | $691.83 | $1,071.52 | $1,698.24 |
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 $281.84 Median $281.84 Typical High $323.59 | Professional | 52 · Reduced service | $281.84 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | 53 · Discontinued | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | RR · Rental | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | UE · Used equipment | $691.83 | $691.83 | $691.83 |
Where Nevada sits
The same service costs 2.6 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· 38th of 51
$912
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.