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 $1,230.27 Median $1,230.27 Typical High $3,162.28 | Facility | None | $1,230.27 | $1,230.27 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $3,162.28 | Professional | None | $1,230.27 | $1,230.27 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $5,495.41 | Facility | None | $3,890.45 | $3,981.07 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Facility | None | $2,041.74 | $2,041.74 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,513.56 | $2,511.89 |
Hometown Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $6,606.93 | Professional | None | $2,238.72 | $3,467.37 | $6,606.93 |
Select Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,265.80 | Facility | None | $3,890.45 | $3,890.45 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,467.37 Typical High $3,890.45 | Professional | None | $2,454.71 | $3,467.37 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,905.46 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,890.45 | Professional | None | $1,348.96 | $2,041.74 | $3,890.45 |
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 $616.60 Median $616.60 Typical High $1,584.89 | Professional | 52 · Reduced service | $616.60 | $616.60 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $630.96 | Professional | 53 · Discontinued | $245.47 | $245.47 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $478.63 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $316.23 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | RR · Rental | $1,698.24 | $1,698.24 | $1,698.24 |
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 3.1 times more in Hawaii 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· 23rd of 51
$2,042
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.