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 $436.52 Median $436.52 Typical High $1,122.02 | Facility | None | $436.52 | $436.52 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $1,122.02 | Professional | None | $436.52 | $436.52 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $1,905.46 | Facility | None | $1,380.38 | $1,412.54 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $977.24 | Facility | None | $912.01 | $912.01 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $660.69 Typical High $977.24 | Professional | None | $645.65 | $660.69 | $977.24 |
Hometown Health Setting Professional Modifier None Typical Low $776.25 Median $1,230.27 Typical High $2,290.87 | Professional | None | $776.25 | $1,230.27 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $4,265.80 | Facility | None | $1,380.38 | $1,380.38 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,380.38 | Professional | None | $870.96 | $1,230.27 | $1,380.38 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $676.08 | Facility | None | $575.44 | $575.44 | $676.08 |
United Setting Professional Modifier None Typical Low $616.60 Median $912.01 Typical High $1,380.38 | Professional | None | $616.60 | $912.01 | $1,380.38 |
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 $218.78 Median $218.78 Typical High $562.34 | Professional | 52 · Reduced service | $218.78 | $218.78 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $223.87 | Professional | 53 · Discontinued | $87.10 | $87.10 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $64.57 Typical High $165.96 | Professional | 55 · Aftercare only | $64.57 | $64.57 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $43.65 Typical High $112.20 | Professional | 56 · Pre-op care only | $43.65 | $43.65 | $112.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $776.25 | $794.33 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Where Nevada sits
The same service costs 2.3 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· 28th of 51
$891
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.