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 $616.60 Median $616.60 Typical High $1,584.89 | Facility | None | $616.60 | $616.60 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,584.89 | Professional | None | $616.60 | $616.60 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $2,691.53 | Facility | None | $1,949.84 | $1,995.26 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $912.01 | Professional | None | $870.96 | $870.96 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $977.24 | Facility | None | $912.01 | $912.01 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,258.93 | Professional | None | $660.69 | $660.69 | $1,258.93 |
Hometown Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $3,311.31 | Professional | None | $1,096.48 | $1,737.80 | $3,311.31 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $4,265.80 | Facility | None | $1,949.84 | $1,949.84 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,621.81 | $1,949.84 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,949.84 | Professional | None | $691.83 | $1,023.29 | $1,949.84 |
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 $309.03 Median $309.03 Typical High $794.33 | Professional | 52 · Reduced service | $309.03 | $309.03 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $316.23 | Professional | 53 · Discontinued | $123.03 | $123.03 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $239.88 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $158.49 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | RR · Rental | $870.96 | $870.96 | $870.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $660.69 | $660.69 | $660.69 |
Where Nevada sits
The same service costs 3.2 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· 22nd of 51
$1,023
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.