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 $6,165.95 Median $6,165.95 Typical High $15,848.93 | Facility | None | $6,165.95 | $6,165.95 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $15,848.93 | Professional | None | $6,165.95 | $6,165.95 | $15,848.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $19,054.61 Median $19,952.62 Typical High $26,915.35 | Facility | None | $19,054.61 | $19,952.62 | $26,915.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | None | $10,715.19 | $10,715.19 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $13,489.63 | Facility | None | $12,589.25 | $12,589.25 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $8,709.64 Median $9,120.11 Typical High $12,589.25 | Professional | None | $8,709.64 | $9,120.11 | $12,589.25 |
Hometown Health Setting Professional Modifier None Typical Low $10,964.78 Median $17,378.01 Typical High $32,359.37 | Professional | None | $10,964.78 | $17,378.01 | $32,359.37 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $19,054.61 Typical High $19,054.61 | Facility | None | $4,265.80 | $19,054.61 | $19,054.61 |
Select Health Setting Professional Modifier None Typical Low $12,302.69 Median $17,378.01 Typical High $21,379.62 | Professional | None | $12,302.69 | $17,378.01 | $21,379.62 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $9,332.54 | Facility | None | $7,943.28 | $7,943.28 | $9,332.54 |
United Setting Professional Modifier None Typical Low $8,317.64 Median $12,589.25 Typical High $19,054.61 | Professional | None | $8,317.64 | $12,589.25 | $19,054.61 |
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 $3,090.30 Median $3,090.30 Typical High $7,762.47 | Professional | 52 · Reduced service | $3,090.30 | $3,090.30 | $7,762.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,230.27 Median $1,230.27 Typical High $3,162.28 | Professional | 53 · Discontinued | $1,230.27 | $1,230.27 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $912.01 Median $912.01 Typical High $2,344.23 | Professional | 55 · Aftercare only | $912.01 | $912.01 | $2,344.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $616.60 Typical High $1,584.89 | Professional | 56 · Pre-op care only | $616.60 | $616.60 | $1,584.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | RR · Rental | $10,715.19 | $10,715.19 | $10,715.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | UE · Used equipment | $7,943.28 | $7,943.28 | $7,943.28 |
Where Nevada sits
The same service costs 2.5 times more in Montana than in Florida. 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
$12,589
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.