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 $257.04 Median $257.04 Typical High $660.69 | Facility | None | $257.04 | $257.04 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $660.69 | Professional | None | $257.04 | $257.04 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $831.76 Typical High $1,148.15 | Facility | None | $812.83 | $831.76 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $426.58 | Professional | None | $416.87 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $426.58 | Facility | None | $380.19 | $380.19 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Hometown Health Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,380.38 | Professional | None | $467.74 | $724.44 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $4,265.80 | Facility | None | $812.83 | $812.83 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $812.83 | Professional | None | $512.86 | $724.44 | $812.83 |
United Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $812.83 | Professional | None | $281.84 | $426.58 | $812.83 |
4 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 55 · Aftercare only Typical Low $38.90 Median $38.90 Typical High $100.00 | Professional | 55 · Aftercare only | $38.90 | $38.90 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $25.70 Typical High $66.07 | Professional | 56 · Pre-op care only | $25.70 | $25.70 | $66.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $363.08 | $426.58 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | UE · Used equipment | $309.03 | $309.03 | $309.03 |
Where Nevada sits
The same service costs 3.7 times more in Alaska 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· 27th of 51
$427
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.