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 $645.65 Median $645.65 Typical High $1,659.59 | Facility | None | $645.65 | $645.65 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $1,659.59 | Professional | None | $645.65 | $645.65 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,818.38 | Facility | None | $2,041.74 | $2,089.30 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Facility | None | $1,318.26 | $1,318.26 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $3,467.37 | Professional | None | $954.99 | $954.99 | $3,467.37 |
Hometown Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,819.70 Typical High $3,388.44 | Professional | None | $1,148.15 | $1,819.70 | $3,388.44 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $4,265.80 | Facility | None | $2,041.74 | $2,041.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,819.70 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,288.25 Typical High $2,041.74 | Professional | None | $870.96 | $1,288.25 | $2,041.74 |
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 $323.59 Median $323.59 Typical High $831.76 | Professional | 52 · Reduced service | $323.59 | $323.59 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $331.13 | Professional | 53 · Discontinued | $128.82 | $128.82 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $245.47 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $165.96 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $165.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,096.48 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $1,096.48 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $831.76 | $831.76 | $831.76 |
Where Nevada sits
The same service costs 3.0 times more in Kansas 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
$1,288
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.