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 $1,047.13 Median $1,047.13 Typical High $2,691.53 | Facility | None | $1,047.13 | $1,047.13 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,691.53 | Professional | None | $1,047.13 | $1,047.13 | $2,691.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,467.37 Typical High $4,677.35 | Facility | None | $3,311.31 | $3,467.37 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Professional | None | $1,479.11 | $1,479.11 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,778.28 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,137.96 | Professional | None | $1,318.26 | $1,318.26 | $2,137.96 |
Hometown Health Setting Professional Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $5,623.41 | Professional | None | $1,905.46 | $3,019.95 | $5,623.41 |
Select Health Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $4,265.80 | Facility | None | $3,311.31 | $3,311.31 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $3,311.31 | Professional | None | $2,137.96 | $2,951.21 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,445.44 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $3,311.31 | Professional | None | $1,174.90 | $1,737.80 | $3,311.31 |
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 $524.81 Median $524.81 Typical High $1,348.96 | Professional | 52 · Reduced service | $524.81 | $524.81 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $549.54 | Professional | 53 · Discontinued | $213.80 | $213.80 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $407.38 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $269.15 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $269.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | RR · Rental | $1,479.11 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,122.02 |
Where Nevada sits
The same service costs 2.8 times more in Hawaii than in Washington, DC. 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
$1,738
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.