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 $630.96 Median $630.96 Typical High $724.44 | Facility | None | $630.96 | $630.96 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $724.44 | Professional | None | $630.96 | $630.96 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,905.46 Typical High $2,630.27 | Facility | None | $1,862.09 | $1,905.46 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | None | $812.83 | $812.83 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $912.01 | Facility | None | $851.14 | $851.14 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,202.26 | Professional | None | $630.96 | $630.96 | $1,202.26 |
Hometown Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,698.24 Typical High $3,162.28 | Professional | None | $1,071.52 | $1,698.24 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $4,265.80 | Facility | None | $1,862.09 | $1,862.09 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $1,862.09 | Professional | None | $1,202.26 | $1,479.11 | $1,862.09 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,318.26 | Facility | None | $912.01 | $912.01 | $1,318.26 |
United Setting Professional Modifier None Typical Low $630.96 Median $977.24 Typical High $1,862.09 | Professional | None | $630.96 | $977.24 | $1,862.09 |
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 $309.03 Median $309.03 Typical High $363.08 | Professional | 52 · Reduced service | $309.03 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $125.89 Typical High $144.54 | Professional | 53 · Discontinued | $125.89 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $63.10 Typical High $72.44 | Professional | 56 · Pre-op care only | $63.10 | $63.10 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | RR · Rental | $812.83 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
Where Nevada sits
The same service costs 5.1 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· 24th 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.