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 $2,290.87 Median $2,290.87 Typical High $5,888.44 | Facility | None | $2,290.87 | $2,290.87 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $5,888.44 | Professional | None | $2,290.87 | $2,290.87 | $5,888.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $7,413.10 Typical High $10,000.00 | Facility | None | $7,244.36 | $7,413.10 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,011.87 | Facility | None | $4,677.35 | $4,677.35 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Hometown Health Setting Professional Modifier None Typical Low $4,073.80 Median $6,456.54 Typical High $12,022.64 | Professional | None | $4,073.80 | $6,456.54 | $12,022.64 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $7,244.36 | Facility | None | $4,265.80 | $7,244.36 | $7,244.36 |
Select Health Setting Professional Modifier None Typical Low $4,570.88 Median $6,456.54 Typical High $7,585.78 | Professional | None | $4,570.88 | $6,456.54 | $7,585.78 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,548.13 | Facility | None | $2,884.03 | $2,884.03 | $3,548.13 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $5,011.87 Typical High $7,244.36 | Professional | None | $3,311.31 | $5,011.87 | $7,244.36 |
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 $1,148.15 Median $1,148.15 Typical High $2,951.21 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $1,174.90 | Professional | 53 · Discontinued | $457.09 | $457.09 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $870.96 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $588.84 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $588.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | RR · Rental | $4,265.80 | $4,265.80 | $4,265.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | UE · Used equipment | $3,235.94 | $3,235.94 | $3,235.94 |
Where Nevada sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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· 25th of 51
$4,677
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.