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 $602.56 Median $602.56 Typical High $691.83 | Facility | None | $602.56 | $602.56 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $691.83 | Professional | None | $602.56 | $602.56 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,862.09 Typical High $2,511.89 | Facility | None | $1,778.28 | $1,862.09 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | None | $794.33 | $794.33 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $912.01 | Facility | None | $831.76 | $831.76 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,148.15 | Professional | None | $602.56 | $602.56 | $1,148.15 |
Hometown Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $3,019.95 | Professional | None | $1,023.29 | $1,621.81 | $3,019.95 |
Select Health Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $4,265.80 | Facility | None | $1,778.28 | $1,778.28 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $1,778.28 | Professional | None | $1,148.15 | $1,445.44 | $1,778.28 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,348.96 | Facility | None | $870.96 | $870.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $616.60 Median $933.25 Typical High $1,778.28 | Professional | None | $616.60 | $933.25 | $1,778.28 |
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 $302.00 Median $302.00 Typical High $346.74 | Professional | 52 · Reduced service | $302.00 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | 53 · Discontinued | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $60.26 Typical High $69.18 | Professional | 56 · Pre-op care only | $60.26 | $60.26 | $69.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | RR · Rental | $794.33 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Where Nevada sits
The same service costs 5.4 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· 20th of 51
$871
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.