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 $741.31 Median $741.31 Typical High $1,905.46 | Facility | None | $741.31 | $741.31 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,905.46 | Professional | None | $741.31 | $741.31 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $2,398.83 Typical High $3,311.31 | Facility | None | $2,344.23 | $2,398.83 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,698.24 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,187.76 | Facility | None | $1,819.70 | $1,819.70 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $2,187.76 | Professional | None | $1,258.93 | $1,318.26 | $2,187.76 |
Hometown Health Setting Professional Modifier None Typical Low $1,348.96 Median $2,089.30 Typical High $3,981.07 | Professional | None | $1,348.96 | $2,089.30 | $3,981.07 |
Select Health Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $4,265.80 | Facility | None | $2,344.23 | $2,344.23 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,479.11 | $2,089.30 | $2,570.40 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,148.15 | Facility | None | $870.96 | $870.96 | $1,148.15 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,621.81 Typical High $2,344.23 | Professional | None | $1,096.48 | $1,621.81 | $2,344.23 |
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 $371.54 Median $371.54 Typical High $954.99 | Professional | 52 · Reduced service | $371.54 | $371.54 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $380.19 | Professional | 53 · Discontinued | $147.91 | $147.91 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $112.20 Typical High $288.40 | Professional | 55 · Aftercare only | $112.20 | $112.20 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $190.55 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $190.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,380.38 Median $1,778.28 Typical High $1,778.28 | Professional | RR · Rental | $1,380.38 | $1,778.28 | $1,778.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,288.25 |
Where Nevada sits
The same service costs 2.3 times more in Wisconsin 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· 31st of 51
$1,622
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.