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 $537.03 Median $537.03 Typical High $616.60 | Facility | None | $537.03 | $537.03 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $616.60 | Professional | None | $537.03 | $537.03 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,238.72 | Facility | None | $1,584.89 | $1,659.59 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $741.31 | Professional | None | $707.95 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $812.83 | Facility | None | $741.31 | $741.31 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,047.13 | Professional | None | $537.03 | $537.03 | $1,047.13 |
Hometown Health Setting Professional Modifier None Typical Low $912.01 Median $1,445.44 Typical High $2,691.53 | Professional | None | $912.01 | $1,445.44 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $4,265.80 | Facility | None | $1,584.89 | $1,584.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $1,584.89 | Professional | None | $1,023.29 | $1,288.25 | $1,584.89 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Facility | None | $776.25 | $776.25 | $912.01 |
United Setting Professional Modifier None Typical Low $549.54 Median $851.14 Typical High $1,584.89 | Professional | None | $549.54 | $851.14 | $1,584.89 |
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 $269.15 Median $269.15 Typical High $309.03 | Professional | 52 · Reduced service | $269.15 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | 53 · Discontinued | $107.15 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $93.33 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $61.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $724.44 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $724.44 | $741.31 | $741.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Where Nevada sits
The same service costs 4.6 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
$776
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.