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 $794.33 Median $794.33 Typical High $2,041.74 | Facility | None | $794.33 | $794.33 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $2,041.74 | Professional | None | $794.33 | $794.33 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,570.40 Typical High $3,467.37 | Facility | None | $2,511.89 | $2,570.40 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,148.15 | Professional | None | $1,122.02 | $1,122.02 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Facility | None | $1,412.54 | $1,412.54 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,621.81 | Professional | None | $912.01 | $1,023.29 | $1,621.81 |
Hometown Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,238.72 Typical High $4,265.80 | Professional | None | $1,412.54 | $2,238.72 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,265.80 | Facility | None | $2,511.89 | $2,511.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,995.26 Typical High $2,511.89 | Professional | None | $1,584.89 | $1,995.26 | $2,511.89 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,230.27 | $1,318.26 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,318.26 Typical High $2,511.89 | Professional | None | $870.96 | $1,318.26 | $2,511.89 |
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 $398.11 Median $398.11 Typical High $1,023.29 | Professional | 52 · Reduced service | $398.11 | $398.11 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $407.38 | Professional | 53 · Discontinued | $158.49 | $158.49 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $309.03 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $204.17 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $204.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $1,122.02 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Where Nevada sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 24th of 51
$1,318
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.