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 $10.23 Median $10.23 Typical High $10.47 | Facility | None | $10.23 | $10.23 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.47 Typical High $10.47 | Professional | None | $10.23 | $10.47 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $9.12 | Professional | None | $6.31 | $6.31 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.59 | Facility | None | $7.08 | $7.08 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $6.03 Typical High $7.08 | Professional | None | $5.75 | $6.03 | $7.08 |
Hometown Health Setting Professional Modifier None Typical Low $7.24 Median $10.72 Typical High $20.42 | Professional | None | $7.24 | $10.72 | $20.42 |
Select Health Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $4,265.80 | Facility | None | $12.02 | $12.02 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $12.02 | Professional | None | $7.76 | $10.96 | $12.02 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.51 Typical High $12.02 | Professional | None | $4.79 | $8.51 | $12.02 |
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 $5.13 Median $5.25 Typical High $5.25 | Professional | 52 · Reduced service | $5.13 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.09 Typical High $2.09 | Professional | 53 · Discontinued | $2.04 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $1.55 Typical High $1.55 | Professional | 55 · Aftercare only | $1.51 | $1.55 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.02 Median $1.05 Typical High $1.05 | Professional | 56 · Pre-op care only | $1.02 | $1.05 | $1.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $6.03 | $6.31 | $6.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | UE · Used equipment | $4.47 | $4.47 | $4.47 |
Where Nevada sits
The same service costs 2.1 times more in Hawaii 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· 24th of 51
$8.51
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.