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 $2.19 Median $2.19 Typical High $2.24 | Facility | None | $2.19 | $2.19 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.24 Typical High $2.24 | Professional | None | $2.19 | $2.24 | $2.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.82 | Professional | None | $1.26 | $1.26 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $1.70 Median $1.70 Typical High $1.82 | Facility | None | $1.70 | $1.70 | $1.82 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.45 Typical High $1.70 | Professional | None | $1.12 | $1.45 | $1.70 |
Hometown Health Setting Professional Modifier None Typical Low $1.55 Median $2.29 Typical High $4.37 | Professional | None | $1.55 | $2.29 | $4.37 |
Select Health Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $4,265.80 | Facility | None | $2.57 | $2.57 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1.62 Median $2.29 Typical High $2.57 | Professional | None | $1.62 | $2.29 | $2.57 |
United Setting Professional Modifier None Typical Low $1.00 Median $1.82 Typical High $2.57 | Professional | None | $1.00 | $1.82 | $2.57 |
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 $1.10 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $1.10 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | RR · Rental | $1.26 | $1.26 | $1.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.95 Median $0.95 Typical High $0.95 | Professional | UE · Used equipment | $0.95 | $0.95 | $0.95 |
Where Nevada sits
The same service costs 2.3 times more in Kansas than in Connecticut. 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· 20th of 51
$1.82
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.