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 $4.27 Median $4.27 Typical High $4.37 | Facility | None | $4.27 | $4.27 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $1.41 Median $4.37 Typical High $4.37 | Professional | None | $1.41 | $4.37 | $4.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.72 | Professional | None | $2.63 | $2.63 | $3.72 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.24 | Facility | None | $3.02 | $3.02 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.57 Typical High $3.02 | Professional | None | $2.29 | $2.57 | $3.02 |
Hometown Health Setting Professional Modifier None Typical Low $3.02 Median $4.47 Typical High $8.71 | Professional | None | $3.02 | $4.47 | $8.71 |
Select Health Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $4,265.80 | Facility | None | $5.13 | $5.13 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $3.24 Median $4.57 Typical High $5.13 | Professional | None | $3.24 | $4.57 | $5.13 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.63 Typical High $5.13 | Professional | None | $2.00 | $3.63 | $5.13 |
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 $2.14 Median $2.19 Typical High $2.19 | Professional | 52 · Reduced service | $2.14 | $2.19 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.87 Typical High $0.87 | Professional | 53 · Discontinued | $0.85 | $0.87 | $0.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.65 Median $0.66 Typical High $0.66 | Professional | 55 · Aftercare only | $0.65 | $0.66 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.43 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.43 | $0.44 | $0.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.51 | $2.63 | $2.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | UE · Used equipment | $1.86 | $1.86 | $1.86 |
Where Nevada sits
The same service costs 2.3 times more in Kansas than in Utah. 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· 21st of 51
$3.55
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.