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 $776.25 Median $776.25 Typical High $1,995.26 | Facility | None | $776.25 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,995.26 | Professional | None | $776.25 | $776.25 | $1,995.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,467.37 | Facility | None | $2,454.71 | $2,511.89 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,122.02 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,479.11 | Professional | None | $831.76 | $831.76 | $1,479.11 |
Hometown Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,187.76 Typical High $4,168.69 | Professional | None | $1,412.54 | $2,187.76 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,265.80 | Facility | None | $2,454.71 | $2,454.71 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,548.82 | $2,187.76 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,202.26 | Facility | None | $1,047.13 | $1,047.13 | $1,202.26 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $2,454.71 | Professional | None | $851.14 | $1,288.25 | $2,454.71 |
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 $389.05 Median $389.05 Typical High $1,000.00 | Professional | 52 · Reduced service | $389.05 | $389.05 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $398.11 | Professional | 53 · Discontinued | $154.88 | $154.88 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $302.00 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $199.53 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $199.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | RR · Rental | $1,096.48 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $831.76 | $831.76 | $831.76 |
Where Nevada sits
The same service costs 3.1 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· 21st of 51
$1,288
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.