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 $1,819.70 Typical High $2,511.89 | Facility | None | $1,778.28 | $1,819.70 | $2,511.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $891.25 | Professional | None | $851.14 | $851.14 | $891.25 |
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 $1,148.15 | Professional | None | $645.65 | $645.65 | $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 $1,621.81 Typical High $1,778.28 | Professional | None | $1,148.15 | $1,621.81 | $1,778.28 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Facility | None | $707.95 | $707.95 | $870.96 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,778.28 | Professional | None | $660.69 | $1,023.29 | $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 $295.12 Median $295.12 Typical High $346.74 | Professional | 52 · Reduced service | $295.12 | $295.12 | $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 $102.33 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $102.33 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | RR · Rental | $851.14 | $851.14 | $851.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | UE · Used equipment | $645.65 | $645.65 | $645.65 |
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· 23rd of 51
$912
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.