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 $812.83 Median $812.83 Typical High $933.25 | Facility | None | $812.83 | $812.83 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $933.25 | Professional | None | $812.83 | $812.83 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,454.71 Typical High $3,388.44 | Facility | None | $2,398.83 | $2,454.71 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,148.15 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,445.44 | Facility | None | $1,174.90 | $1,174.90 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,548.82 | Professional | None | $870.96 | $870.96 | $1,548.82 |
Hometown Health Setting Professional Modifier None Typical Low $1,380.38 Median $2,137.96 Typical High $4,073.80 | Professional | None | $1,380.38 | $2,137.96 | $4,073.80 |
Select Health Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $4,265.80 | Facility | None | $2,398.83 | $2,398.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,137.96 Typical High $2,398.83 | Professional | None | $1,513.56 | $2,137.96 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Facility | None | $1,174.90 | $1,174.90 | $1,479.11 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $2,398.83 | Professional | None | $812.83 | $1,258.93 | $2,398.83 |
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 $398.11 Median $398.11 Typical High $467.74 | Professional | 52 · Reduced service | $398.11 | $398.11 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | 53 · Discontinued | $162.18 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $93.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,071.52 Median $1,174.90 Typical High $1,174.90 | Professional | RR · Rental | $1,071.52 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Where Nevada sits
The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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
$1,259
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.