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 $7.94 Median $7.94 Typical High $8.13 | Facility | None | $7.94 | $7.94 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $8.13 Typical High $8.13 | Professional | None | $2.69 | $8.13 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $7.24 | Facility | None | $5.75 | $5.75 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $7.59 | Professional | None | $4.90 | $4.90 | $7.59 |
Hometown Health Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $15.85 | Professional | None | $5.62 | $8.51 | $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 $6.03 Median $8.51 Typical High $9.77 | Professional | None | $6.03 | $8.51 | $9.77 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.25 Typical High $9.33 | Professional | None | $3.80 | $5.25 | $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 $3.63 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $3.63 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.45 | $1.62 | $1.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.10 Median $1.20 Typical High $1.20 | Professional | 55 · Aftercare only | $1.10 | $1.20 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.81 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.72 | $0.81 | $0.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $4.07 | $4.07 | $4.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | UE · Used equipment | $3.09 | $3.09 | $3.09 |
Where Nevada sits
The same service costs 2.5 times more in Montana 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· 18th of 51
$6.61
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.