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 $645.65 Median $645.65 Typical High $741.31 | Facility | None | $645.65 | $645.65 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $741.31 | Professional | None | $645.65 | $645.65 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $2,691.53 | Facility | None | $1,905.46 | $1,995.26 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
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 $1,479.11 | Professional | None | $851.14 | $851.14 | $1,479.11 |
Hometown Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $3,235.94 | Professional | None | $1,096.48 | $1,737.80 | $3,235.94 |
Select Health Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $4,265.80 | Facility | None | $1,905.46 | $1,905.46 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,230.27 | $1,737.80 | $2,398.83 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Facility | None | $870.96 | $870.96 | $933.25 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,905.46 | Professional | None | $870.96 | $1,348.96 | $1,905.46 |
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 $323.59 Median $323.59 Typical High $371.54 | Professional | 52 · Reduced service | $323.59 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | 53 · Discontinued | $128.82 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $112.20 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $74.13 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $74.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | RR · Rental | $1,148.15 | $1,148.15 | $1,148.15 |
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 3.0 times more in Montana 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· 30th of 51
$1,148
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.