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 $1,659.59 Median $1,659.59 Typical High $4,168.69 | Facility | None | $1,659.59 | $1,659.59 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $4,168.69 | Professional | None | $1,659.59 | $1,659.59 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,128.61 Median $5,370.32 Typical High $7,244.36 | Facility | None | $5,128.61 | $5,370.32 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,754.23 | Professional | None | $2,691.53 | $2,691.53 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,090.30 | Facility | None | $2,754.23 | $2,754.23 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $3,388.44 | Professional | None | $2,041.74 | $2,041.74 | $3,388.44 |
Hometown Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,677.35 Typical High $8,709.64 | Professional | None | $2,951.21 | $4,677.35 | $8,709.64 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $5,128.61 Typical High $5,128.61 | Facility | None | $4,265.80 | $5,128.61 | $5,128.61 |
Select Health Setting Professional Modifier None Typical Low $3,311.31 Median $4,677.35 Typical High $6,025.60 | Professional | None | $3,311.31 | $4,677.35 | $6,025.60 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Facility | None | $2,454.71 | $2,454.71 | $2,511.89 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $5,128.61 | Professional | None | $2,089.30 | $3,162.28 | $5,128.61 |
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 $812.83 Median $812.83 Typical High $2,089.30 | Professional | 52 · Reduced service | $812.83 | $812.83 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $851.14 | Professional | 53 · Discontinued | $331.13 | $331.13 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $245.47 Typical High $630.96 | Professional | 55 · Aftercare only | $245.47 | $245.47 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $416.87 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $416.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | RR · Rental | $2,691.53 | $2,691.53 | $2,691.53 |
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 2.8 times more in Wyoming 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· 24th of 51
$3,090
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.