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 $954.99 Median $954.99 Typical High $2,454.71 | Facility | None | $954.99 | $954.99 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $2,454.71 | Professional | None | $954.99 | $954.99 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $4,168.69 | Facility | None | $3,019.95 | $3,090.30 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,659.59 | Facility | None | $1,548.82 | $1,548.82 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,122.02 | $1,949.84 |
Hometown Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,691.53 Typical High $5,011.87 | Professional | None | $1,698.24 | $2,691.53 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,265.80 | Facility | None | $3,019.95 | $3,019.95 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,691.53 Typical High $3,311.31 | Professional | None | $1,905.46 | $2,691.53 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,698.24 | Facility | None | $1,479.11 | $1,479.11 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,778.28 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,778.28 | $3,019.95 |
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 $478.63 Median $478.63 Typical High $1,230.27 | Professional | 52 · Reduced service | $478.63 | $478.63 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $489.78 | Professional | 53 · Discontinued | $190.55 | $190.55 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $363.08 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $245.47 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $245.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | RR · Rental | $1,513.56 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,148.15 |
Where Nevada sits
The same service costs 3.0 times more in Iowa 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· 21st of 51
$1,778
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.