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 $4.47 Median $4.47 Typical High $4.57 | Facility | None | $4.47 | $4.47 | $4.57 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.57 Typical High $4.57 | Professional | None | $4.47 | $4.57 | $4.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $9.12 | Professional | None | $2.63 | $2.63 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.80 | Facility | None | $3.55 | $3.55 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $2.95 Typical High $3.55 | Professional | None | $2.69 | $2.95 | $3.55 |
Hometown Health Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $9.12 | Professional | None | $3.24 | $4.68 | $9.12 |
Select Health Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $4,265.80 | Facility | None | $5.37 | $5.37 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $3.39 Median $4.79 Typical High $5.37 | Professional | None | $3.39 | $4.79 | $5.37 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.80 Typical High $9.55 | Professional | None | $2.09 | $3.80 | $9.55 |
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 $2.24 Median $2.29 Typical High $2.29 | Professional | 52 · Reduced service | $2.24 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.91 Typical High $0.91 | Professional | 53 · Discontinued | $0.89 | $0.91 | $0.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.68 Median $0.69 Typical High $0.69 | Professional | 55 · Aftercare only | $0.68 | $0.69 | $0.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.45 Median $0.46 Typical High $0.46 | Professional | 56 · Pre-op care only | $0.45 | $0.46 | $0.46 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.63 | $2.63 | $2.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | UE · Used equipment | $1.95 | $1.95 | $1.95 |
Where Nevada sits
The same service costs 2.6 times more in Kansas than in New Hampshire. 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
$3.80
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.