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 $26.30 Median $26.30 Typical High $30.20 | Facility | None | $26.30 | $26.30 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | None | $26.30 | $26.30 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $81.28 Typical High $109.65 | Facility | None | $79.43 | $81.28 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | None | $40.74 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $53.70 | Professional | None | $26.92 | $26.92 | $53.70 |
Hometown Health Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $131.83 | Professional | None | $44.67 | $70.79 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $4,265.80 | Facility | None | $79.43 | $79.43 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $79.43 | Professional | None | $50.12 | $70.79 | $79.43 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $79.43 | Professional | None | $31.62 | $47.86 | $79.43 |
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 $13.18 Median $13.18 Typical High $15.14 | Professional | 52 · Reduced service | $13.18 | $13.18 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | 53 · Discontinued | $5.25 | $5.25 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $4.57 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.63 | $2.63 | $3.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $40.74 | $41.69 | $41.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | UE · Used equipment | $30.20 | $30.20 | $30.20 |
Where Nevada sits
The same service costs 2.9 times more in Hawaii than in Delaware. 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· 24th of 51
$41.69
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.