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 $302.00 Median $302.00 Typical High $776.25 | Facility | None | $302.00 | $302.00 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $776.25 | Professional | None | $302.00 | $302.00 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $977.24 Typical High $1,348.96 | Facility | None | $954.99 | $977.24 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | None | $512.86 | $512.86 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $588.84 | Facility | None | $524.81 | $524.81 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
Hometown Health Setting Professional Modifier None Typical Low $549.54 Median $870.96 Typical High $1,621.81 | Professional | None | $549.54 | $870.96 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $4,265.80 | Facility | None | $954.99 | $954.99 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $954.99 | Professional | None | $616.60 | $870.96 | $954.99 |
United Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $954.99 | Professional | None | $380.19 | $575.44 | $954.99 |
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 $45.71 Median $45.71 Typical High $117.49 | Professional | 55 · Aftercare only | $45.71 | $45.71 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.20 Typical High $77.62 | Professional | 56 · Pre-op care only | $30.20 | $30.20 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $489.78 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $489.78 | $512.86 | $512.86 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | UE · Used equipment | $380.19 | $380.19 | $380.19 |
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· 24th of 51
$575
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.