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 $7.76 Median $7.76 Typical High $7.94 | Facility | None | $7.76 | $7.76 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.94 Typical High $7.94 | Professional | None | $7.76 | $7.94 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.92 | Professional | None | $4.79 | $4.79 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.89 | Facility | None | $5.50 | $5.50 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $4.68 Typical High $5.50 | Professional | None | $4.17 | $4.68 | $5.50 |
Hometown Health Setting Professional Modifier None Typical Low $5.50 Median $8.13 Typical High $15.85 | Professional | None | $5.50 | $8.13 | $15.85 |
Select Health Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $4,265.80 | Facility | None | $9.33 | $9.33 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $5.89 Median $8.32 Typical High $9.33 | Professional | None | $5.89 | $8.32 | $9.33 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.46 Typical High $9.33 | Professional | None | $3.63 | $6.46 | $9.33 |
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 $3.89 Median $3.98 Typical High $3.98 | Professional | 52 · Reduced service | $3.89 | $3.98 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.58 Typical High $1.58 | Professional | 53 · Discontinued | $1.55 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.17 Median $1.20 Typical High $1.20 | Professional | 55 · Aftercare only | $1.17 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.78 Median $0.79 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.78 | $0.79 | $0.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.79 Typical High $4.79 | Professional | RR · Rental | $4.57 | $4.79 | $4.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | UE · Used equipment | $3.39 | $3.39 | $3.39 |
Where Nevada sits
The same service costs 2.3 times more in Kansas than in Alabama. 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· 23rd of 51
$6.46
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.