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 $407.38 Median $407.38 Typical High $1,047.13 | Facility | None | $407.38 | $407.38 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $1,047.13 | Professional | None | $407.38 | $407.38 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,318.26 Typical High $1,819.70 | Facility | None | $1,288.25 | $1,318.26 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $794.33 | Professional | None | $776.25 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Facility | None | $724.44 | $724.44 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Hometown Health Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $2,187.76 | Professional | None | $741.31 | $1,174.90 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $4,265.80 | Facility | None | $1,288.25 | $1,288.25 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,348.96 | Professional | None | $831.76 | $1,174.90 | $1,348.96 |
United Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,288.25 | Professional | None | $549.54 | $831.76 | $1,288.25 |
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 $61.66 Median $61.66 Typical High $158.49 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $104.71 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $104.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $707.95 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $707.95 | $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 2.4 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· 30th of 51
$776
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.