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 $24.55 Median $24.55 Typical High $28.18 | Facility | None | $24.55 | $24.55 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $28.18 | Professional | None | $24.55 | $24.55 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $75.86 Typical High $102.33 | Facility | None | $74.13 | $75.86 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $43.65 | Facility | None | $40.74 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | None | $29.51 | $29.51 | $48.98 |
Hometown Health Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $123.03 | Professional | None | $41.69 | $66.07 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $4,265.80 | Facility | None | $74.13 | $74.13 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $81.28 | Professional | None | $46.77 | $66.07 | $81.28 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
United Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $74.13 | Professional | None | $28.84 | $44.67 | $74.13 |
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 $12.30 Median $12.30 Typical High $14.13 | Professional | 52 · Reduced service | $12.30 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.62 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $3.72 Typical High $4.27 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $2.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | UE · Used equipment | $27.54 | $27.54 | $27.54 |
Where Nevada sits
The same service costs 2.7 times more in Montana 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· 27th of 51
$40.74
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.