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 $676.08 Median $676.08 Typical High $776.25 | Facility | None | $676.08 | $676.08 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $776.25 | Professional | None | $676.08 | $676.08 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,818.38 | Facility | None | $2,041.74 | $2,089.30 | $2,818.38 |
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 $1,148.15 Median $1,148.15 Typical High $1,230.27 | Facility | None | $1,148.15 | $1,148.15 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,318.26 | Professional | None | $831.76 | $831.76 | $1,318.26 |
Hometown Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,148.15 | $1,819.70 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $2,041.74 | $2,041.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,041.74 | Professional | None | $1,288.25 | $1,621.81 | $2,041.74 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,258.93 | Facility | None | $1,000.00 | $1,000.00 | $1,258.93 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,071.52 Typical High $2,041.74 | Professional | None | $691.83 | $1,071.52 | $2,041.74 |
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 $338.84 Median $338.84 Typical High $389.05 | Professional | 52 · Reduced service | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $134.90 Typical High $154.88 | Professional | 53 · Discontinued | $134.90 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | 56 · Pre-op care only | $67.61 | $67.61 | $77.62 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $676.08 | $676.08 | $676.08 |
Where Nevada sits
The same service costs 3.9 times more in Hawaii than in West Virginia. 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
$1,072
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.