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 $1,995.26 Median $1,995.26 Typical High $5,128.61 | Facility | None | $1,995.26 | $1,995.26 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $5,128.61 | Professional | None | $1,995.26 | $1,995.26 | $5,128.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $6,456.54 Typical High $8,709.64 | Facility | None | $6,165.95 | $6,456.54 | $8,709.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,890.45 | Facility | None | $3,630.78 | $3,630.78 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $2,511.89 Median $2,691.53 Typical High $4,073.80 | Professional | None | $2,511.89 | $2,691.53 | $4,073.80 |
Hometown Health Setting Professional Modifier None Typical Low $3,548.13 Median $5,623.41 Typical High $10,471.29 | Professional | None | $3,548.13 | $5,623.41 | $10,471.29 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $6,165.95 Typical High $6,165.95 | Facility | None | $4,265.80 | $6,165.95 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $3,981.07 Median $5,623.41 Typical High $6,165.95 | Professional | None | $3,981.07 | $5,623.41 | $6,165.95 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,311.31 | Facility | None | $3,090.30 | $3,090.30 | $3,311.31 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $6,165.95 | Professional | None | $2,187.76 | $3,311.31 | $6,165.95 |
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 $1,000.00 Median $1,000.00 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $1,023.29 | Professional | 53 · Discontinued | $398.11 | $398.11 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $295.12 Typical High $758.58 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $512.86 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $512.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | RR · Rental | $2,818.38 | $2,818.38 | $2,818.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,089.30 |
Where Nevada sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 25th of 51
$3,311
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.