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 $2,089.30 Median $2,089.30 Typical High $5,370.32 | Facility | None | $2,089.30 | $2,089.30 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $5,370.32 | Professional | None | $2,089.30 | $2,089.30 | $5,370.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,606.93 Median $6,760.83 Typical High $9,120.11 | Facility | None | $6,606.93 | $6,760.83 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Facility | None | $3,548.13 | $3,548.13 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $4,265.80 | Professional | None | $2,630.27 | $2,630.27 | $4,265.80 |
Hometown Health Setting Professional Modifier None Typical Low $3,715.35 Median $5,888.44 Typical High $11,220.18 | Professional | None | $3,715.35 | $5,888.44 | $11,220.18 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $6,606.93 Typical High $6,606.93 | Facility | None | $4,265.80 | $6,606.93 | $6,606.93 |
Select Health Setting Professional Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $6,606.93 | Professional | None | $4,168.69 | $5,495.41 | $6,606.93 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $4,365.16 | Facility | None | $3,235.94 | $3,235.94 | $4,365.16 |
United Setting Professional Modifier None Typical Low $2,290.87 Median $3,467.37 Typical High $6,606.93 | Professional | None | $2,290.87 | $3,467.37 | $6,606.93 |
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 $1,047.13 Median $1,047.13 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $1,071.52 | Professional | 53 · Discontinued | $416.87 | $416.87 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $316.23 Typical High $812.83 | Professional | 55 · Aftercare only | $316.23 | $316.23 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $537.03 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $537.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | RR · Rental | $2,951.21 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | UE · Used equipment | $2,238.72 | $2,238.72 | $2,238.72 |
Where Nevada sits
The same service costs 4.3 times more in Hawaii than in Pennsylvania. 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· 24th of 51
$3,467
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.