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 $1,288.25 Median $1,288.25 Typical High $3,235.94 | Facility | None | $1,288.25 | $1,288.25 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $3,235.94 | Professional | None | $1,288.25 | $1,288.25 | $3,235.94 |
Ambetter Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $5,623.41 | Facility | None | $3,981.07 | $4,168.69 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,137.96 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Facility | None | $2,137.96 | $2,137.96 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,584.89 | $1,584.89 | $2,630.27 |
Hometown Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $6,760.83 | Professional | None | $2,290.87 | $3,630.78 | $6,760.83 |
Select Health Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,265.80 | Facility | None | $3,981.07 | $3,981.07 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,630.78 Typical High $3,981.07 | Professional | None | $2,570.40 | $3,630.78 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,454.71 Typical High $3,981.07 | Professional | None | $1,659.59 | $2,454.71 | $3,981.07 |
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 $630.96 Median $630.96 Typical High $1,621.81 | Professional | 52 · Reduced service | $630.96 | $630.96 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $660.69 | Professional | 53 · Discontinued | $257.04 | $257.04 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $489.78 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $323.59 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $323.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,089.30 Median $2,187.76 Typical High $2,187.76 | Professional | RR · Rental | $2,089.30 | $2,187.76 | $2,187.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | UE · Used equipment | $1,621.81 | $1,621.81 | $1,621.81 |
Where Nevada sits
The same service costs 2.6 times more in Wisconsin 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
$2,455
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.