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 $446.68 Median $446.68 Typical High $512.86 | Facility | None | $446.68 | $446.68 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $512.86 | Professional | None | $446.68 | $446.68 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,862.09 | Facility | None | $1,318.26 | $1,348.96 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $812.83 | Facility | None | $758.58 | $758.58 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $549.54 Typical High $851.14 | Professional | None | $537.03 | $549.54 | $851.14 |
Hometown Health Setting Professional Modifier None Typical Low $758.58 Median $1,174.90 Typical High $2,238.72 | Professional | None | $758.58 | $1,174.90 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $4,265.80 | Facility | None | $1,318.26 | $1,318.26 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $1,318.26 | Professional | None | $831.76 | $1,096.48 | $1,318.26 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $645.65 | Facility | None | $575.44 | $575.44 | $645.65 |
United Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $1,318.26 | Professional | None | $446.68 | $691.83 | $1,318.26 |
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 $218.78 Median $218.78 Typical High $257.04 | Professional | 52 · Reduced service | $218.78 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | 53 · Discontinued | $89.13 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $51.29 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $51.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | RR · Rental | $588.84 | $588.84 | $588.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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
$692
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.