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 $660.69 Median $660.69 Typical High $1,698.24 | Facility | None | $660.69 | $660.69 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,698.24 | Professional | None | $660.69 | $660.69 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,089.30 Median $2,137.96 Typical High $2,951.21 | Facility | None | $2,089.30 | $2,137.96 | $2,951.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,023.29 | Facility | None | $954.99 | $954.99 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,348.96 | Professional | None | $707.95 | $707.95 | $1,348.96 |
Hometown Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $3,548.13 | Professional | None | $1,202.26 | $1,862.09 | $3,548.13 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $4,265.80 | Facility | None | $2,089.30 | $2,089.30 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,862.09 | $2,089.30 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $1,023.29 | Facility | None | $173.78 | $173.78 | $1,023.29 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $2,089.30 | Professional | None | $724.44 | $1,096.48 | $2,089.30 |
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 $331.13 Median $331.13 Typical High $851.14 | Professional | 52 · Reduced service | $331.13 | $331.13 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $338.84 | Professional | 53 · Discontinued | $131.83 | $131.83 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $100.00 Typical High $257.04 | Professional | 55 · Aftercare only | $100.00 | $100.00 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $169.82 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $169.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $933.25 Median $1,445.44 Typical High $1,445.44 | Professional | RR · Rental | $933.25 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | UE · Used equipment | $1,096.48 | $1,096.48 | $1,096.48 |
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· 26th of 51
$1,096
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.