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 $147.91 Median $147.91 Typical High $380.19 | Facility | None | $147.91 | $147.91 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $380.19 | Professional | None | $147.91 | $147.91 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $478.63 Typical High $660.69 | Facility | None | $467.74 | $478.63 | $660.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | None | $281.84 | $281.84 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $323.59 | Facility | None | $295.12 | $295.12 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $213.80 Typical High $295.12 | Professional | None | $208.93 | $213.80 | $295.12 |
Hometown Health Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $794.33 | Professional | None | $269.15 | $416.87 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $4,265.80 | Facility | None | $467.74 | $467.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $489.78 | Professional | None | $295.12 | $416.87 | $489.78 |
United Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $467.74 | Professional | None | $199.53 | $302.00 | $467.74 |
4 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 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $57.54 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $14.79 Typical High $38.02 | Professional | 56 · Pre-op care only | $14.79 | $14.79 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $257.04 | $281.84 | $281.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | UE · Used equipment | $213.80 | $213.80 | $213.80 |
Where Nevada sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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
$295
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.