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 $588.84 Median $588.84 Typical High $676.08 | Facility | None | $588.84 | $588.84 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $676.08 | Professional | None | $588.84 | $588.84 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,778.28 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | None | $831.76 | $831.76 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $977.24 | Facility | None | $891.25 | $891.25 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,122.02 | Professional | None | $645.65 | $645.65 | $1,122.02 |
Hometown Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,951.21 | Professional | None | $1,000.00 | $1,584.89 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $4,265.80 | Facility | None | $1,737.80 | $1,737.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,122.02 | $1,584.89 | $1,737.80 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $870.96 | Facility | None | $851.14 | $851.14 | $870.96 |
United Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,737.80 | Professional | None | $645.65 | $977.24 | $1,737.80 |
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 $295.12 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $295.12 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $134.90 | Professional | 53 · Discontinued | $117.49 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $100.00 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | RR · Rental | $831.76 | $831.76 | $831.76 |
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 3.0 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· 27th of 51
$891
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.