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 $1,479.11 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,479.11 | $1,479.11 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,698.24 | Professional | None | $1,479.11 | $1,479.11 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $4,570.88 Typical High $6,165.95 | Facility | None | $4,365.16 | $4,570.88 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,137.96 | Facility | None | $1,995.26 | $1,995.26 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,818.38 | Professional | None | $1,479.11 | $1,479.11 | $2,818.38 |
Hometown Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $7,413.10 | Professional | None | $2,511.89 | $3,981.07 | $7,413.10 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,265.80 | $4,365.16 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $2,818.38 Median $3,548.13 Typical High $4,365.16 | Professional | None | $2,818.38 | $3,548.13 | $4,365.16 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,951.21 | Facility | None | $2,137.96 | $2,137.96 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,290.87 Typical High $4,365.16 | Professional | None | $1,513.56 | $2,290.87 | $4,365.16 |
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 $741.31 Median $741.31 Typical High $851.14 | Professional | 52 · Reduced service | $741.31 | $741.31 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | 53 · Discontinued | $295.12 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | 56 · Pre-op care only | $147.91 | $147.91 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | RR · Rental | $1,949.84 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,479.11 |
Where Nevada sits
The same service costs 4.4 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
$2,138
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.