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 $1,548.82 Median $1,548.82 Typical High $3,981.07 | Facility | None | $1,548.82 | $1,548.82 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $3,981.07 | Professional | None | $1,548.82 | $1,548.82 | $3,981.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $5,011.87 Typical High $6,918.31 | Facility | None | $4,897.79 | $5,011.87 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Professional | None | $2,398.83 | $2,398.83 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,019.95 | Facility | None | $2,754.23 | $2,754.23 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,162.28 | Professional | None | $1,995.26 | $1,995.26 | $3,162.28 |
Hometown Health Setting Professional Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $8,317.64 | Professional | None | $2,818.38 | $4,466.84 | $8,317.64 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,265.80 | $4,897.79 | $4,897.79 |
Select Health Setting Professional Modifier None Typical Low $3,162.28 Median $4,466.84 Typical High $5,011.87 | Professional | None | $3,162.28 | $4,466.84 | $5,011.87 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,398.83 | Facility | None | $2,187.76 | $2,187.76 | $2,398.83 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,818.38 Typical High $4,897.79 | Professional | None | $1,862.09 | $2,818.38 | $4,897.79 |
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 $776.25 Median $776.25 Typical High $1,995.26 | Professional | 52 · Reduced service | $776.25 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $309.03 Typical High $794.33 | Professional | 53 · Discontinued | $309.03 | $309.03 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $602.56 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $154.88 Typical High $398.11 | Professional | 56 · Pre-op care only | $154.88 | $154.88 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | RR · Rental | $2,398.83 | $2,398.83 | $2,398.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | UE · Used equipment | $1,778.28 | $1,778.28 | $1,778.28 |
Where Nevada sits
The same service costs 2.6 times more in Hawaii than in West Virginia. 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· 21st of 51
$2,818
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.