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 $1,071.52 Median $1,071.52 Typical High $2,754.23 | Facility | None | $1,071.52 | $1,071.52 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,754.23 | Professional | None | $1,071.52 | $1,071.52 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,467.37 Typical High $4,786.30 | Facility | None | $3,388.44 | $3,467.37 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,754.23 | Facility | None | $2,570.40 | $2,570.40 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,698.24 | $1,862.09 | $2,754.23 |
Hometown Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,019.95 Typical High $5,754.40 | Professional | None | $1,949.84 | $3,019.95 | $5,754.40 |
Select Health Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,265.80 | Facility | None | $3,388.44 | $3,388.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,019.95 Typical High $3,548.13 | Professional | None | $2,137.96 | $3,019.95 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Facility | None | $1,288.25 | $1,288.25 | $1,659.59 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,445.44 | $2,187.76 | $3,388.44 |
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 $537.03 Median $537.03 Typical High $1,380.38 | Professional | 52 · Reduced service | $537.03 | $537.03 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | 53 · Discontinued | $213.80 | $213.80 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $416.87 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $275.42 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $275.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | RR · Rental | $1,862.09 | $1,862.09 | $1,862.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $1,412.54 |
Where Nevada sits
The same service costs 2.4 times more in Wisconsin 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· 26th of 51
$2,188
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.