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 $1,230.27 Median $1,230.27 Typical High $3,162.28 | Facility | None | $1,230.27 | $1,230.27 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $3,162.28 | Professional | None | $1,230.27 | $1,230.27 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $5,495.41 | Facility | None | $3,890.45 | $3,981.07 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,691.53 | Facility | None | $2,511.89 | $2,511.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,737.80 | $1,862.09 | $2,511.89 |
Hometown Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,548.13 Typical High $6,606.93 | Professional | None | $2,238.72 | $3,548.13 | $6,606.93 |
Select Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,265.80 | Facility | None | $3,890.45 | $3,890.45 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,511.89 Median $3,548.13 Typical High $4,073.80 | Professional | None | $2,511.89 | $3,548.13 | $4,073.80 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $3,890.45 | Professional | None | $1,659.59 | $2,511.89 | $3,890.45 |
4 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 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $478.63 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $316.23 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $316.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | RR · Rental | $2,137.96 | $2,137.96 | $2,137.96 |
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 2.2 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· 27th of 51
$2,512
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.