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 $1,318.26 Median $1,318.26 Typical High $3,388.44 | Facility | None | $1,318.26 | $1,318.26 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,388.44 | Professional | None | $1,318.26 | $1,318.26 | $3,388.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $4,365.16 Typical High $5,888.44 | Facility | None | $4,168.69 | $4,365.16 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,311.31 | Facility | None | $2,951.21 | $2,951.21 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,187.76 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,187.76 | $3,235.94 |
Hometown Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $7,079.46 | Professional | None | $2,398.83 | $3,801.89 | $7,079.46 |
Select Health Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,265.80 | Facility | None | $4,168.69 | $4,168.69 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $4,897.79 | Professional | None | $2,691.53 | $3,801.89 | $4,897.79 |
United Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,951.21 | Facility | None | $2,041.74 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,778.28 | $2,630.27 | $4,168.69 |
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 $660.69 Median $660.69 Typical High $1,698.24 | Professional | 52 · Reduced service | $660.69 | $660.69 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $269.15 Typical High $691.83 | Professional | 53 · Discontinued | $269.15 | $269.15 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $199.53 Typical High $512.86 | Professional | 55 · Aftercare only | $199.53 | $199.53 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $338.84 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $338.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | RR · Rental | $2,238.72 | $2,238.72 | $2,238.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | UE · Used equipment | $1,698.24 | $1,698.24 | $1,698.24 |
Where Nevada sits
The same service costs 2.5 times more in Montana 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· 25th of 51
$2,630
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.