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 $1,202.26 Median $1,202.26 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,202.26 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,202.26 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $3,890.45 Typical High $5,248.07 | Facility | None | $3,715.35 | $3,890.45 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,951.21 | Facility | None | $2,691.53 | $2,691.53 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,698.24 | $1,949.84 | $2,691.53 |
Hometown Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $6,309.57 | Professional | None | $2,137.96 | $3,388.44 | $6,309.57 |
Select Health Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,265.80 | Facility | None | $3,715.35 | $3,715.35 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,388.44 Typical High $3,890.45 | Professional | None | $2,398.83 | $3,388.44 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,621.81 | $2,398.83 | $3,715.35 |
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 $177.83 Median $177.83 Typical High $457.09 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $309.03 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $309.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | RR · Rental | $2,041.74 | $2,041.74 | $2,041.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
Where Nevada sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 22nd of 51
$2,399
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.