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 $13.49 Median $13.49 Typical High $15.85 | Facility | None | $13.49 | $13.49 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $17.78 | Professional | None | $10.00 | $13.49 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $41.69 Typical High $57.54 | Facility | None | $40.74 | $41.69 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | None | $18.20 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $31.62 | Facility | None | $22.39 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $16.22 Typical High $22.39 | Professional | None | $5.89 | $16.22 | $22.39 |
Hometown Health Setting Professional Modifier None Typical Low $23.44 Median $36.31 Typical High $69.18 | Professional | None | $23.44 | $36.31 | $69.18 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $4,265.80 | Facility | None | $40.74 | $40.74 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $40.74 | Professional | None | $25.70 | $32.36 | $40.74 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $28.18 | Facility | None | $19.95 | $19.95 | $28.18 |
United Setting Professional Modifier None Typical Low $13.80 Median $21.38 Typical High $40.74 | Professional | None | $13.80 | $21.38 | $40.74 |
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 $6.76 Median $6.76 Typical High $7.94 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.16 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $2.04 Typical High $2.34 | Professional | 55 · Aftercare only | $2.04 | $2.04 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $1.35 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.35 | $1.35 | $1.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.20 Median $18.62 Typical High $18.62 | Professional | RR · Rental | $18.20 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | UE · Used equipment | $13.49 | $13.49 | $13.49 |
Where Nevada sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 37th of 51
$17.78
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.