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 $1,096.48 Median $1,096.48 Typical High $2,818.38 | Facility | None | $1,096.48 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,096.48 | $2,818.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $4,786.30 | Facility | None | $3,467.37 | $3,548.13 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,570.40 | Facility | None | $2,398.83 | $2,398.83 | $2,570.40 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,698.24 | $1,737.80 | $2,398.83 |
Hometown Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $5,888.44 | Professional | None | $1,949.84 | $3,090.30 | $5,888.44 |
Select Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,265.80 | Facility | None | $3,467.37 | $3,467.37 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $3,715.35 | Professional | None | $2,187.76 | $3,090.30 | $3,715.35 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Facility | None | $1,445.44 | $1,445.44 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $3,467.37 | Professional | None | $1,621.81 | $2,398.83 | $3,467.37 |
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 $549.54 Median $549.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $549.54 | $549.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $562.34 | Professional | 53 · Discontinued | $218.78 | $218.78 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $165.96 Typical High $426.58 | Professional | 55 · Aftercare only | $165.96 | $165.96 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $109.65 Typical High $281.84 | Professional | 56 · Pre-op care only | $109.65 | $109.65 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,041.74 Median $2,089.30 Typical High $2,089.30 | Professional | RR · Rental | $2,041.74 | $2,089.30 | $2,089.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
Where Nevada sits
The same service costs 2.2 times more in Arkansas 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
$2,239
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.