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 $1,412.54 Median $1,412.54 Typical High $3,630.78 | Facility | None | $1,412.54 | $1,412.54 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $3,630.78 | Professional | None | $1,412.54 | $1,412.54 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $4,570.88 Typical High $6,309.57 | Facility | None | $4,466.84 | $4,570.88 | $6,309.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,691.53 | $2,754.23 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,754.23 | Facility | None | $2,511.89 | $2,511.89 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
Hometown Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,981.07 Typical High $7,585.78 | Professional | None | $2,570.40 | $3,981.07 | $7,585.78 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,265.80 | $4,466.84 | $4,466.84 |
Select Health Setting Professional Modifier None Typical Low $2,818.38 Median $3,981.07 Typical High $4,570.88 | Professional | None | $2,818.38 | $3,981.07 | $4,570.88 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $4,466.84 | Professional | None | $1,905.46 | $2,884.03 | $4,466.84 |
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 $707.95 Median $707.95 Typical High $1,819.70 | Professional | 52 · Reduced service | $707.95 | $707.95 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $724.44 | Professional | 53 · Discontinued | $281.84 | $281.84 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | 55 · Aftercare only | $213.80 | $213.80 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $141.25 Typical High $363.08 | Professional | 56 · Pre-op care only | $141.25 | $141.25 | $363.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,454.71 Median $2,754.23 Typical High $2,754.23 | Professional | RR · Rental | $2,454.71 | $2,754.23 | $2,754.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
Where Nevada sits
The same service costs 2.6 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· 35th of 51
$2,570
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.