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 $851.14 Median $851.14 Typical High $977.24 | Facility | None | $851.14 | $851.14 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $977.24 | Professional | None | $851.14 | $851.14 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,570.40 Median $2,630.27 Typical High $3,548.13 | Facility | None | $2,570.40 | $2,630.27 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | None | $1,122.02 | $1,122.02 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,659.59 | Professional | None | $851.14 | $851.14 | $1,659.59 |
Hometown Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $4,265.80 | Professional | None | $1,445.44 | $2,290.87 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $4,265.80 | Facility | None | $2,570.40 | $2,570.40 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $2,570.40 | Professional | None | $1,621.81 | $2,290.87 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93 | Facility | None | $1,122.02 | $1,122.02 | $1,258.93 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $2,570.40 | Professional | None | $870.96 | $1,348.96 | $2,570.40 |
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 $426.58 Median $426.58 Typical High $489.78 | Professional | 52 · Reduced service | $426.58 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $194.98 | Professional | 53 · Discontinued | $169.82 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $97.72 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $1,122.02 | $1,122.02 | $1,122.02 |
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 3.3 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· 21st 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.