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 $2.45 Median $2.45 Typical High $2.51 | Facility | None | $2.45 | $2.45 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $0.81 Median $2.51 Typical High $2.51 | Professional | None | $0.81 | $2.51 | $2.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.14 | Facility | None | $1.74 | $1.74 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.74 | Professional | None | $1.48 | $1.48 | $1.74 |
Hometown Health Setting Professional Modifier None Typical Low $1.78 Median $2.63 Typical High $5.01 | Professional | None | $1.78 | $2.63 | $5.01 |
Select Health Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $4,265.80 | Facility | None | $2.95 | $2.95 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $2.95 | Professional | None | $1.86 | $2.63 | $2.95 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.66 Typical High $2.95 | Professional | None | $1.12 | $1.66 | $2.95 |
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 $1.23 Median $1.26 Typical High $1.26 | Professional | 52 · Reduced service | $1.23 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.50 Typical High $0.50 | Professional | 53 · Discontinued | $0.49 | $0.50 | $0.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.37 Median $0.38 Typical High $0.38 | Professional | 55 · Aftercare only | $0.37 | $0.38 | $0.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | RR · Rental | $1.82 | $1.82 | $1.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | UE · Used equipment | $1.38 | $1.38 | $1.38 |
Where Nevada sits
The same service costs 2.2 times more in Kansas than in Alabama. 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· 31st of 51
$1.82
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.