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 $1,202.26 Median $1,202.26 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,202.26 | $3,090.30 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,202.26 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,890.45 Typical High $5,248.07 | Facility | None | $3,801.89 | $3,890.45 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
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 $1,288.25 Median $1,288.25 Typical High $2,454.71 | Professional | None | $1,288.25 | $1,288.25 | $2,454.71 |
Hometown Health Setting Professional Modifier None Typical Low $2,137.96 Median $3,388.44 Typical High $6,456.54 | Professional | None | $2,137.96 | $3,388.44 | $6,456.54 |
Select Health Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,265.80 | Facility | None | $3,801.89 | $3,801.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,388.44 Typical High $3,801.89 | Professional | None | $2,398.83 | $3,388.44 | $3,801.89 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,862.09 | Facility | None | $1,621.81 | $1,621.81 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $2,041.74 Typical High $3,801.89 | Professional | None | $1,348.96 | $2,041.74 | $3,801.89 |
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 $602.56 Median $602.56 Typical High $1,548.82 | Professional | 52 · Reduced service | $602.56 | $602.56 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $239.88 Typical High $616.60 | Professional | 53 · Discontinued | $239.88 | $239.88 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $467.74 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $309.03 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $309.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | RR · Rental | $1,737.80 | $1,737.80 | $1,737.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,318.26 |
Where Nevada sits
The same service costs 3.2 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· 22nd of 51
$2,042
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.