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 $891.25 Median $891.25 Typical High $2,290.87 | Facility | None | $891.25 | $891.25 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $2,290.87 | Professional | None | $891.25 | $891.25 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,884.03 Typical High $3,981.07 | Facility | None | $2,818.38 | $2,884.03 | $3,981.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,318.26 | Professional | None | $1,288.25 | $1,288.25 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,445.44 | Facility | None | $1,288.25 | $1,288.25 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,819.70 | Professional | None | $954.99 | $954.99 | $1,819.70 |
Hometown Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $4,786.30 | Professional | None | $1,621.81 | $2,511.89 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $4,265.80 | Facility | None | $2,818.38 | $2,818.38 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $2,818.38 | Professional | None | $1,778.28 | $2,454.71 | $2,818.38 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,348.96 | $1,348.96 | $1,380.38 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,479.11 Typical High $2,818.38 | Professional | None | $977.24 | $1,479.11 | $2,818.38 |
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 $446.68 Median $446.68 Typical High $1,148.15 | Professional | 52 · Reduced service | $446.68 | $446.68 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $457.09 | Professional | 53 · Discontinued | $177.83 | $177.83 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $346.74 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $89.13 Typical High $229.09 | Professional | 56 · Pre-op care only | $89.13 | $89.13 | $229.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,258.93 Median $1,288.25 Typical High $1,288.25 | Professional | RR · Rental | $1,258.93 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $954.99 | $954.99 | $954.99 |
Where Nevada sits
The same service costs 3.4 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
$1,479
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.