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 $3,162.28 Median $3,162.28 Typical High $8,128.31 | Facility | None | $3,162.28 | $3,162.28 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $8,128.31 | Professional | None | $3,162.28 | $3,162.28 | $8,128.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $10,232.93 Typical High $13,803.84 | Facility | None | $9,772.37 | $10,232.93 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,760.83 | Professional | None | $6,606.93 | $6,606.93 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $8,317.64 | Facility | None | $7,585.78 | $7,585.78 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $7,585.78 | Professional | None | $4,677.35 | $5,495.41 | $7,585.78 |
Hometown Health Setting Professional Modifier None Typical Low $5,623.41 Median $8,912.51 Typical High $16,595.87 | Professional | None | $5,623.41 | $8,912.51 | $16,595.87 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $9,772.37 Typical High $9,772.37 | Facility | None | $4,265.80 | $9,772.37 | $9,772.37 |
Select Health Setting Professional Modifier None Typical Low $6,309.57 Median $8,912.51 Typical High $11,220.18 | Professional | None | $6,309.57 | $8,912.51 | $11,220.18 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,786.30 | Facility | None | $4,265.80 | $4,265.80 | $4,786.30 |
United Setting Professional Modifier None Typical Low $4,466.84 Median $6,760.83 Typical High $9,772.37 | Professional | None | $4,466.84 | $6,760.83 | $9,772.37 |
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 $1,584.89 Median $1,584.89 Typical High $3,981.07 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $3,981.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $1,621.81 | Professional | 53 · Discontinued | $630.96 | $630.96 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $467.74 Typical High $1,202.26 | Professional | 55 · Aftercare only | $467.74 | $467.74 | $1,202.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $316.23 Typical High $812.83 | Professional | 56 · Pre-op care only | $316.23 | $316.23 | $812.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5,754.40 Median $6,606.93 Typical High $6,606.93 | Professional | RR · Rental | $5,754.40 | $6,606.93 | $6,606.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | UE · Used equipment | $4,897.79 | $4,897.79 | $4,897.79 |
Where Nevada sits
The same service costs 2.1 times more in Montana than in Pennsylvania. 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· 32nd of 51
$6,607
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.