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 $3,235.94 Median $3,235.94 Typical High $8,317.64 | Facility | None | $3,235.94 | $3,235.94 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $8,317.64 | Professional | None | $3,235.94 | $3,235.94 | $8,317.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,232.93 Median $10,471.29 Typical High $14,454.40 | Facility | None | $10,232.93 | $10,471.29 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,079.46 | Facility | None | $6,606.93 | $6,606.93 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $6,606.93 | Professional | None | $4,897.79 | $4,897.79 | $6,606.93 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $10,232.93 Typical High $10,232.93 | Facility | None | $4,265.80 | $10,232.93 | $10,232.93 |
Select Health Setting Professional Modifier None Typical Low $6,456.54 Median $9,120.11 Typical High $10,471.29 | Professional | None | $6,456.54 | $9,120.11 | $10,471.29 |
United Setting Professional Modifier None Typical Low $4,365.16 Median $6,606.93 Typical High $10,232.93 | Professional | None | $4,365.16 | $6,606.93 | $10,232.93 |
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 $489.78 Median $489.78 Typical High $1,258.93 | Professional | 55 · Aftercare only | $489.78 | $489.78 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $323.59 Median $323.59 Typical High $831.76 | Professional | 56 · Pre-op care only | $323.59 | $323.59 | $831.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | RR · Rental | $5,623.41 | $5,623.41 | $5,623.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,265.80 |
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· 26th of 51
$6,457
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.