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 $2,630.27 Median $2,630.27 Typical High $6,760.83 | Facility | None | $2,630.27 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $6,760.83 | Professional | None | $2,630.27 | $2,630.27 | $6,760.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,317.64 Median $8,511.38 Typical High $11,748.98 | Facility | None | $8,317.64 | $8,511.38 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,011.87 | Facility | None | $4,677.35 | $4,677.35 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $5,370.32 | Professional | None | $3,388.44 | $3,467.37 | $5,370.32 |
Hometown Health Setting Professional Modifier None Typical Low $4,786.30 Median $7,413.10 Typical High $14,125.38 | Professional | None | $4,786.30 | $7,413.10 | $14,125.38 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $8,317.64 Typical High $8,317.64 | Facility | None | $4,265.80 | $8,317.64 | $8,317.64 |
Select Health Setting Professional Modifier None Typical Low $5,248.07 Median $7,413.10 Typical High $8,317.64 | Professional | None | $5,248.07 | $7,413.10 | $8,317.64 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,897.79 | Facility | None | $4,073.80 | $4,073.80 | $4,897.79 |
United Setting Professional Modifier None Typical Low $2,884.03 Median $4,365.16 Typical High $8,317.64 | Professional | None | $2,884.03 | $4,365.16 | $8,317.64 |
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 $1,318.26 Median $1,318.26 Typical High $3,388.44 | Professional | 52 · Reduced service | $1,318.26 | $1,318.26 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $524.81 Typical High $1,348.96 | Professional | 53 · Discontinued | $524.81 | $524.81 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $398.11 Typical High $1,023.29 | Professional | 55 · Aftercare only | $398.11 | $398.11 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $263.03 Typical High $676.08 | Professional | 56 · Pre-op care only | $263.03 | $263.03 | $676.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | RR · Rental | $3,630.78 | $3,630.78 | $3,630.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $2,754.23 |
Where Nevada sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 22nd of 51
$4,365
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.