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 $575.44 Median $575.44 Typical High $660.69 | Facility | None | $575.44 | $575.44 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $758.58 | Professional | None | $416.87 | $575.44 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $2,398.83 | Facility | None | $1,698.24 | $1,778.28 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $851.14 | Professional | None | $831.76 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $933.25 | Facility | None | $831.76 | $831.76 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | None | $616.60 | $616.60 | $1,047.13 |
Hometown Health Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,884.03 | Professional | None | $977.24 | $1,548.82 | $2,884.03 |
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 $1,096.48 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,096.48 | $1,479.11 | $1,698.24 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $794.33 | Facility | None | $630.96 | $630.96 | $794.33 |
United Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,698.24 | Professional | None | $588.84 | $891.25 | $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 $288.40 Median $288.40 Typical High $331.13 | Professional | 52 · Reduced service | $288.40 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | 53 · Discontinued | $114.82 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $66.07 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $66.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $758.58 Median $851.14 Typical High $851.14 | Professional | RR · Rental | $758.58 | $851.14 | $851.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
Where Nevada sits
The same service costs 3.2 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· 29th of 51
$832
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.