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 $575.44 Median $575.44 Typical High $1,479.11 | Facility | None | $575.44 | $575.44 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,479.11 | Professional | None | $575.44 | $575.44 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $2,570.40 | Facility | None | $1,819.70 | $1,905.46 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $933.25 | Facility | None | $870.96 | $870.96 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $1,174.90 | Professional | None | $630.96 | $630.96 | $1,174.90 |
Hometown Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $3,090.30 | Professional | None | $1,047.13 | $1,659.59 | $3,090.30 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $4,265.80 | Facility | None | $1,819.70 | $1,819.70 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,548.82 Typical High $1,819.70 | Professional | None | $1,174.90 | $1,548.82 | $1,819.70 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,513.56 | Facility | None | $891.25 | $891.25 | $1,513.56 |
United Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $1,819.70 | Professional | None | $645.65 | $954.99 | $1,819.70 |
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 $288.40 Median $288.40 Typical High $741.31 | Professional | 52 · Reduced service | $288.40 | $288.40 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $295.12 | Professional | 53 · Discontinued | $117.49 | $117.49 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $223.87 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $147.91 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $147.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | RR · Rental | $812.83 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
Where Nevada sits
The same service costs 4.0 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
$955
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.