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 $3.31 Median $3.31 Typical High $3.39 | Facility | None | $3.31 | $3.31 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $1.26 Median $3.39 Typical High $3.39 | Professional | None | $1.26 | $3.39 | $3.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.31 | Facility | None | $2.69 | $2.69 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.72 | Professional | None | $2.29 | $2.29 | $3.72 |
Hometown Health Setting Professional Modifier None Typical Low $2.34 Median $3.55 Typical High $6.76 | Professional | None | $2.34 | $3.55 | $6.76 |
Select Health Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $4,265.80 | Facility | None | $3.98 | $3.98 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $2.51 Median $3.55 Typical High $4.57 | Professional | None | $2.51 | $3.55 | $4.57 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.40 Typical High $3.98 | Professional | None | $1.78 | $2.40 | $3.98 |
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 $1.66 Median $1.70 Typical High $1.70 | Professional | 52 · Reduced service | $1.66 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.66 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.66 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.51 Typical High $0.51 | Professional | 55 · Aftercare only | $0.50 | $0.51 | $0.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.33 Median $0.34 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.33 | $0.34 | $0.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | RR · Rental | $2.24 | $2.24 | $2.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | UE · Used equipment | $1.70 | $1.70 | $1.70 |
Where Nevada sits
The same service costs 2.1 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· 25th of 51
$2.82
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.