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 $1,148.15 Median $1,148.15 Typical High $2,951.21 | Facility | None | $1,148.15 | $1,148.15 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $2,951.21 | Professional | None | $1,148.15 | $1,148.15 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,715.35 Typical High $5,128.61 | Facility | None | $3,630.78 | $3,715.35 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,995.26 | Facility | None | $1,819.70 | $1,819.70 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,344.23 | Professional | None | $1,318.26 | $1,318.26 | $2,344.23 |
Hometown Health Setting Professional Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $6,165.95 | Professional | None | $2,089.30 | $3,235.94 | $6,165.95 |
Select Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,265.80 | Facility | None | $3,630.78 | $3,630.78 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $3,981.07 | Professional | None | $2,290.87 | $3,235.94 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,041.74 | Facility | None | $1,778.28 | $1,778.28 | $2,041.74 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $3,630.78 | Professional | None | $1,380.38 | $2,089.30 | $3,630.78 |
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 $575.44 Median $575.44 Typical High $1,479.11 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $588.84 | Professional | 53 · Discontinued | $229.09 | $229.09 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $446.68 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $295.12 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | RR · Rental | $1,778.28 | $1,778.28 | $1,778.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,318.26 |
Where Nevada sits
The same service costs 3.1 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· 21st of 51
$2,089
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.